钝性创伤后下腔静脉损伤：病例报告
Inferior vena cava injury after blunt trauma: Case report.
作者信息
Aabdi Mohammed, Jabi Rachid, Mellagui Yassine, Bkiyar Houssam, Bouzinae Mohammed, Housni Brahim
机构信息
Anesthesiology and Intensive Care Unit Department, MOHAMMED VI University Hospital Center, Oujda, Morocco.
General Surgery Department, Mohammed VI University Hospital Center, Mohammed I University, Morocco.
出版信息
Int J Surg Case Rep. 2021 Apr;81:105791. doi: 10.1016/j.ijscr.2021.105791. Epub 2021 Mar 19.
INTRODUCTION
inferior vena cava IVC injury is rare with lethal outcomes, the clinical signs depends on the location and associated injuries, andt he treatment might be endovascular, surgical.
CLINICAL CASE
A 25 years with no medical history was admitted to the emergency department after a car accident. After intubation and hemodynamic stabilization, the computerized tomography CT scan showed hepatic laceration with a rupture of the IVC in the retro-hepatic portion, he was admitted to the operation room for damage control laparotomy; the patient died 12 h after the operation despite appropriate management.
CONCLUSION
IVC are rare and lethal, the CT scan remains the gold standard and the evolution of endovascular techniques decreased the mortality rate.
引言
下腔静脉（IVC）损伤罕见且可导致致命后果，临床体征取决于损伤部位及合并伤，治疗方式可能为血管腔内治疗或手术治疗。
临床病例
一名25岁无病史患者在车祸后被送入急诊科。插管并稳定血流动力学后，计算机断层扫描（CT）显示肝撕裂伤伴肝后段下腔静脉破裂，遂送入手术室行损伤控制剖腹术；尽管治疗得当，患者术后12小时死亡。
结论
下腔静脉损伤罕见且致命，CT扫描仍是金标准，血管腔内技术的发展降低了死亡率。
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