Čertík B, Třeška V, Bierhanzlová J, Matějka J, Zeman J, Matějka T
Acta Chir Orthop Traumatol Cech. 2016;83(4):274-278.
Renal artery thrombosis is a rare complication of blunt abdominal injury. It occurs most frequently in car accidents in which sudden deceleration results in multiple internal injuries. Renal artery occlusion occurs rarely as an isolated blunt trauma. This report presents a case of traumatic occlusion of the left renal artery with complete ischaemia of the left kidney in a haemodynamically stable girl who suffered multiple seat-belt injuries in a car crash. Ambiguous findings on a CT scan of the abdominal cavity indicated surgical inspection of the abdomen and, since the injury-to-surgery interval was short, an attempt at revascularisation of the left kidney was made. This was performed using laparotomy through a lateral left-side incision, as an uncommon approach to the injured organs. A seat-belt fracture of the L2/3 spine was stabilised at secondstage surgery. Key words: renal artery thrombosis, seat-belt fracture of the lumbar spine.
肾动脉血栓形成是钝性腹部损伤的一种罕见并发症。它最常发生于车祸中，突然减速导致多处内伤。肾动脉闭塞很少作为单纯的钝性创伤出现。本报告介绍了一名血流动力学稳定的女孩的病例，该女孩在车祸中多处受到安全带损伤，导致左肾动脉创伤性闭塞及左肾完全缺血。腹腔CT扫描结果不明确，提示需对腹部进行手术检查，且由于受伤至手术的间隔时间较短，遂尝试对左肾进行血管重建。手术通过左侧旁正中切口进行剖腹探查，这是一种处理受损器官的不常见方法。在二期手术中对L2/3脊柱的安全带骨折进行了固定。关键词：肾动脉血栓形成，腰椎安全带骨折
