Mattox K L, Pickard L, Allen M K, Garcia-Rinaldi R
JACEP. 1978 Jan;7(1):12-5. doi: 10.1016/s0361-1124(78)80251-2.
Deceleration accidents produce a complex of potentially fatal thoracic injuries. Because early detection is the key to successful management of blunt trauma to the great vessels, emergency physicians must be knowledgeable of signs indicative of these complex injuries. Among more than 10,000 patients presenting to the Ben Taub Emergency Center over an 11-year period with thoracic injuries, 100 had clinical or radiographic clues suggestive of blunt trauma decelerative injury to the great vessels. Of these 100 patients, 23 had transection of the descending thoracic aorta and five had avulsion of the innominate artery. One patient had a double transection. Six patients died in the Emergency Center before proximal control could be achieved.
减速事故会造成一系列潜在致命的胸部损伤。由于早期发现是成功处理大血管钝性创伤的关键，急诊医生必须了解这些复杂损伤的指示体征。在11年期间，超过10000名因胸部损伤到本·陶布急诊中心就诊的患者中，有100人有临床或影像学线索提示大血管钝性减速损伤。在这100名患者中，23人降主动脉横断，5人无名动脉撕脱。1名患者有两处横断。6名患者在急诊中心未实现近端控制前死亡。
