Gupta Shivani, Kumar Atin, Kaur Tejinder, Gamanagatti Shivanand, Kumar Abhinav, Gupta Amit, Kumar Subodh
Department of Radiology, Jai Prakash Narayana Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Division of Trauma Surgery and Critical Care, Jai Prakash Narayana Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Clin Exp Emerg Med. 2022 Jun;9(2):73-83. doi: 10.15441/ceem.22.233. Epub 2022 Jun 30.
Acute traumatic aortic injuries, which have substantial lethal outcomes at the time of admission, are fatal in 80% to 90% of cases. These injuries are relatively rare and have nonspecific clinical presentations. Radiologists and emergency physicians need to identify the radiological signs of acute traumatic aortic injury and differentiate them from common imaging errors to ensure accurate diagnosis and determine appropriate management protocols. In combination with image-guided interventions, advances in cross-sectional imaging have enabled nonsurgical management of acute traumatic aortic injuries. Timely and precise diagnoses of these injuries following prompt treatment are essential as up to 90% of patients presenting at the hospital can undergo early repair.
急性创伤性主动脉损伤在入院时具有很高的致死率，80%至90%的病例会死亡。这些损伤相对罕见，临床表现不具特异性。放射科医生和急诊科医生需要识别急性创伤性主动脉损伤的影像学征象，并将其与常见的影像诊断错误区分开来，以确保准确诊断并确定合适的治疗方案。结合影像引导介入技术，横断面成像技术的进步已使急性创伤性主动脉损伤的非手术治疗成为可能。及时、准确地诊断这些损伤并迅速进行治疗至关重要，因为高达90%的入院患者可以接受早期修复手术。
