Rehman Zia Ur, Farooq Rimsha
Department of Surgery, Aga Khan University Hospital, Karachi.
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S99-S101.
Inferior vena caval (IVC) injuries are uncommon and challenging. The objective of the study is to evaluate outcomes of patients operated for inferior vena caval injuries at a university hospital. This is a retrospective case series of all adult patients aged >18 years who had been operated for traumatic IVC injuries at a university hospital between Jan 1998 to December 2018. During the study period, 9 patients with IVC injuries were operated with mean age of 26±10.3 years and all were males. Five (55.5%) patients had penetrating injuries while 4 (44.4%) had blunt trauma. Four (44.4%) patients had infra-renal while 5(66.7%) had suprarenal segment injuries with 4 (44.4%) patients undergoing primary repair of the injury. The most injured associated organ was liver 5 (55.6%). Thirty-days operative mortality was 66.7%.
下腔静脉(IVC)损伤并不常见且具有挑战性。本研究的目的是评估在一所大学医院接受下腔静脉损伤手术患者的治疗结果。这是一项回顾性病例系列研究,纳入了1998年1月至2018年12月期间在该大学医院接受创伤性下腔静脉损伤手术的所有年龄大于18岁的成年患者。在研究期间,9名下腔静脉损伤患者接受了手术,平均年龄为26±10.3岁,均为男性。5名(55.5%)患者为穿透伤,4名(44.4%)为钝性创伤。4名(44.4%)患者为肾下段损伤,5名(66.7%)为肾上段损伤,4名(44.4%)患者接受了损伤的一期修复。最常合并损伤的器官是肝脏,共5例(55.6%)。30天手术死亡率为66.7%。