Ghoddusi Johari Hamed, Moein Seyed Arman
Trauma Research Center, Thoracic and Vascular Surgery Research center, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Bull Emerg Trauma. 2022;10(4):201-204. doi: 10.30476/BEAT.2021.91302.1272.
Blunt traumatic aortic injury is a deadly phenomenon in traumatic injuries. Damage control is essential in the management of traumatic patients. We reported a 20-years-old man brought to the trauma center from a car turnover crash scene. Blunt traumatic aortic injury grade III was revealed by contrast-enhanced computed tomography requiring urgent intervention. After an uneventful open repair of the aorta with Dacron graft, diffuse blood oozing occurred from the mediastinum and left pleural cavity. We packed the thoracic bleeding sites and removed the packings after four days. The patient developed no signs of cardiopulmonary compromise until the removal of the packings. Later, the patient was discharged with no complications. Through the follow-ups, he had no complaint regarding the surgery. The patient has a normal chest x-ray one year later. Thoracic gauze packing is limitedly practiced due to concerns for cardiopulmonary compromises. To the best of our knowledge, this is the first time that this technique has been performed in the open repair of blunt traumatic thoracic aortic injury as damage control.
钝性创伤性主动脉损伤是创伤性损伤中的一种致命现象。损伤控制在创伤患者的管理中至关重要。我们报告了一名20岁男性，从汽车翻车事故现场被送往创伤中心。增强计算机断层扫描显示为III级钝性创伤性主动脉损伤，需要紧急干预。在用涤纶补片顺利完成主动脉开放修复术后，纵隔和左胸腔出现弥漫性渗血。我们对胸腔出血部位进行了填塞，并在四天后取出填塞物。在取出填塞物之前，患者没有出现心肺功能不全的迹象。后来，患者出院，无并发症。通过随访，他对手术没有任何抱怨。一年后患者胸部X光片正常。由于担心心肺功能不全，胸腔纱布填塞术的应用有限。据我们所知，这是首次将该技术用于钝性创伤性胸主动脉损伤开放修复的损伤控制。
