Liu M, Lui W Y, Lee C S, Kuo S M, P'eng F K
Taiwan Yi Xue Hui Za Zhi. 1989 Feb;88(2):183-5.
Injury of the superior mesenteric vein from blunt abdominal trauma is an uncommon but frequently fatal injury. A 63-year-old man was injured in a motorcycle accident. He was admitted to our hospital in profound shock. Immediate celiotomy revealed superior mesenteric vein injury which was repaired by end-to-end anastomosis. Rapid fluid resuscitation and expeditious exploration are the key in saving patients with this condition. Indications for exploration of retroperitoneal hematomas, techniques of exposure, modes of reconstruction of the injured vein and the importance of a second-look operation are discussed.
钝性腹部创伤所致肠系膜上静脉损伤虽不常见但常致命。一名63岁男性在摩托车事故中受伤。他因重度休克被收治入院。急诊剖腹探查发现肠系膜上静脉损伤，遂行端端吻合修复术。快速液体复苏和迅速探查是挽救此类患者的关键。本文讨论了腹膜后血肿的探查指征、暴露技术、受损静脉的重建方式以及二次探查手术的重要性。
