Wu Qiqi, Sun Shanshan, Xie Jie, Li Tianyu, Li Hui, Bai Xiangjun, Li Zhanfei, Wang Wei
Department of Traumatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Department of Ultrasound Imaging Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Biomed Res Int. 2021 Apr 29;2021:9995749. doi: 10.1155/2021/9995749. eCollection 2021.
Aortic injury, particularly traumatic aortic dissection caused by thoracic and abdominal injuries, is extremely rare. The diagnosis rate of blunt aortic injury caused by chest and abdominal injuries is often low, and its clinical manifestations are atypical. Once missed or misdiagnosed, the consequences are serious. Early diagnosis of traumatic aortic injury in complex thoracic and abdominal injuries is a key factor in reducing the mortality of trauma patients. Among all trauma patients treated in our department from December 2018 to December 2020, we diagnosed four cases of aortic injury, including three cases of aortic dissection and one case of intramural hematoma. Successful surgical treatment and clinical outcome were achieved in all four patients. We found that early diagnosis and surgical treatment can help to reduce the mortality of patients with traumatic aortic injury and improve the prognosis.
主动脉损伤，尤其是由胸腹部损伤导致的创伤性主动脉夹层极为罕见。胸腹部损伤所致钝性主动脉损伤的诊断率往往较低，且其临床表现不典型。一旦漏诊或误诊，后果严重。早期诊断复杂胸腹部损伤中的创伤性主动脉损伤是降低创伤患者死亡率的关键因素。在2018年12月至2020年12月期间在我科接受治疗的所有创伤患者中，我们诊断出4例主动脉损伤，其中包括3例主动脉夹层和1例壁内血肿。所有4例患者均成功接受了手术治疗并取得了临床疗效。我们发现早期诊断和手术治疗有助于降低创伤性主动脉损伤患者的死亡率并改善预后。
