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儿童钝性腹部创伤后主动脉横断

Aortic Transection after Blunt Abdominal Trauma in a Child.

作者信息

Patel Shivik, Sheahan Claudie McArthur, Fontenot Danielle D, Sheahan Malachi Gerard

机构信息

Louisiana State University Health Sciences Center, New Orleans, LA.

Louisiana State University Health Sciences Center, New Orleans, LA.

出版信息

Ann Vasc Surg. 2020 Jul;66:671.e11-671.e14. doi: 10.1016/j.avsg.2020.01.095. Epub 2020 Feb 5.

DOI:10.1016/j.avsg.2020.01.095
PMID:32035264
Abstract

Abdominal aortic injury secondary to blunt abdominal aortic trauma (BAAI) is rare in children but frequently occurs in association with other injuries, including bowel injury and vertebral fracture. We present a case of a 14-year-old boy who sustained a partial transection of the infrarenal aorta with a lumbar chance fracture and small bowel injury after a motor vehicle accident. Repair was performed with bowel resection followed by Dacron graft interposition. We reviewed the literature on BAAI in children with a focus on the method of repair of these injuries.

摘要

钝性腹主动脉创伤(BAAI)继发的腹主动脉损伤在儿童中较为罕见,但常与其他损伤同时发生,包括肠损伤和椎体骨折。我们报告一例14岁男孩,在机动车事故后发生肾下腹主动脉部分横断,并伴有腰椎 Chance 骨折和小肠损伤。手术采用肠切除,随后置入涤纶人工血管进行修复。我们回顾了关于儿童BAAI的文献,重点关注这些损伤的修复方法。

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引用本文的文献

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Aortic thromboendarterectomy and patch aortoplasty as the treatment of choice for severe blunt abdominal aortic injury in children with aortic occlusion.主动脉血栓内膜切除术和补片主动脉成形术作为主动脉闭塞的儿童严重钝性腹主动脉损伤的首选治疗方法。
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A systematic review of blunt abdominal aortic injury and analysis of predictors of death.钝性腹部主动脉损伤的系统评价及死亡预测因素分析。
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Infrarenal aortic dissection in a child after blunt trauma.
J Vasc Surg Cases Innov Tech. 2022 Jan 27;8(2):129-131. doi: 10.1016/j.jvscit.2022.01.002. eCollection 2022 Jun.