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钝性腹部创伤采用肠系膜动脉栓塞治疗:病例报告。

Blunt abdominal trauma managed with mesenteric embolization: case report.

作者信息

Sánchez-Hernández Álvaro E, Martín-González Iván, Luna-Álvarez Rubén, Steven-Aparicio Brandon, Cabrera Luis F, Loaiza Steven, Marmolejo Stefanie

机构信息

Departamento de Cirugía General, Universidad El Bosque.

Departamento de Cirugía General, Fundación Clínica Abood Shaio.

出版信息

Cir Cir. 2021;89(6):822-826. doi: 10.24875/CIRU.20000750.

Abstract

Blunt abdominal trauma occurs in 20% of polytraumatized patients, of which approximately 5% may have mesenteric lesions. We present a case of a woman suffering from a blunt abdominal trauma, who underwent computed tomography with evidence of hematoma on the right flank, which was controlled by angioembolization of the superior mesenteric artery. Treatment of mesenteric lesions will be determined according to the hemodynamic status of the patient, since in view of stability, a choice can be made between open surgery and embolization, but in case of instability, laparotomy is recommended.

摘要

钝性腹部创伤发生于 20%的多发创伤患者中,其中约 5%可能存在肠系膜损伤。我们报告了 1 例女性钝性腹部创伤患者,其计算机断层扫描显示右侧腰部血肿,通过肠系膜上动脉血管栓塞术得到控制。肠系膜损伤的治疗将根据患者的血流动力学状态确定,因为在稳定的情况下,可以选择开放性手术或栓塞治疗,但在不稳定的情况下,建议剖腹手术。

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