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肾上腺主动脉冰锥刺伤的成功处理——经验教训

Successful management of impaled ice-pick stab injury of the suprarenal aorta - lessons learnt.

作者信息

Kumarasamy Sivaraman, Nagaraj Satish Subbiah, Kumar Manish, Savlania Ajay, Kaman Lileswar

机构信息

Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

出版信息

Trauma Case Rep. 2022 May 24;40:100663. doi: 10.1016/j.tcr.2022.100663. eCollection 2022 Aug.

Abstract

Penetrating injury of the aorta is rare and lethal. The reported mortality rate is very high. Few patients survive and present to the hospital. Some of these injuries are salvageable if treated in a timely and aggressive manner. Here we present a case of penetrating injury of the aorta with impalement of the ice-pick, which was successfully managed with laparotomy and primary repair of the aortic injury after adequate resuscitation.

摘要

主动脉穿透伤罕见且致命。报道的死亡率非常高。很少有患者能存活并被送至医院。如果及时且积极地治疗,其中一些损伤是可挽救的。在此,我们报告一例冰锥刺入导致的主动脉穿透伤病例,该病例在充分复苏后通过剖腹手术及主动脉损伤的一期修复成功得到处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197c/9157008/da3a037867ec/gr1.jpg

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