Brunsting L A, Ouriel K
Department of Surgery, University of Rochester Medical Center, NY 14642.
J Vasc Surg. 1988 Aug;8(2):184-6.
We report the case of an elderly man whose infrarenal abdominal aorta ruptured when the patient fell getting out of bed. Unique features of this case are the lack of aneurysmal disease, the insignificant nature of the trauma, and the severe, rigid atherosclerotic plaque in the infrarenal aorta. Pathologic examination of the resected aorta demonstrated the point of rupture to be at the junction of atherosclerotic plaque and normal aorta, suggesting that atherosclerosis is a predisposing factor in traumatic rupture of the abdominal aorta.
我们报告了一例老年男性病例，该患者从床上起身时摔倒，导致肾下腹主动脉破裂。此病例的独特之处在于不存在动脉瘤疾病，创伤程度较轻，以及肾下腹主动脉存在严重的、僵硬的动脉粥样硬化斑块。对切除的主动脉进行的病理检查表明，破裂点位于动脉粥样硬化斑块与正常主动脉的交界处，这表明动脉粥样硬化是腹主动脉创伤性破裂的一个诱发因素。
