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一名三岁患者的创伤性胸主动脉损伤：病例报告

Traumatic Thoracic Aortic Injury in a Three-Year-Old Patient: A Case Report.

作者信息

AlSayyari Tarfah, Almatar Zahra, AlShomar Abdulaziz, Alnamshan Mohammad

机构信息

College of Medicine/Surgery, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

Pediatric Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

出版信息

Cureus. 2022 Dec 30;14(12):e33117. doi: 10.7759/cureus.33117. eCollection 2022 Dec.

DOI:10.7759/cureus.33117
PMID:36721589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9884332/
Abstract

Management of a traumatic ruptured aorta in the pediatric population is quite challenging. Options vary, with each having its own morbidity, and include open repair, endovascular stent grafts, and/or anti-impulse therapy. Although endovascular stenting is an emerging management modality in traumatic aortic injury in adults, open repair is still the gold standard in the pediatric population. In this case, we reported the survival of a three-year-old boy who underwent successful surgical repair with a Dacron graft and anastomosis after an acute traumatic thoracic aortic pseudoaneurysm with mediastinal hematoma.

摘要

小儿创伤性主动脉破裂的治疗颇具挑战性。治疗方案各异，每种方案都有其自身的发病率，包括开放修复、血管内支架植入和/或抗冲击治疗。尽管血管内支架植入是成人创伤性主动脉损伤的一种新兴治疗方式，但开放修复仍是小儿患者的金标准。在此，我们报告了一名三岁男孩的存活情况，该男孩在急性创伤性胸主动脉假性动脉瘤合并纵隔血肿后，成功接受了涤纶补片移植和吻合的手术修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/7de5818ea7bf/cureus-0014-00000033117-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/3a2ad0f84827/cureus-0014-00000033117-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/5f95d5a9f46e/cureus-0014-00000033117-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/7de5818ea7bf/cureus-0014-00000033117-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/3a2ad0f84827/cureus-0014-00000033117-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/5f95d5a9f46e/cureus-0014-00000033117-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21f/9884332/7de5818ea7bf/cureus-0014-00000033117-i03.jpg

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本文引用的文献

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Cervical Cannulation for Surgical Repair of Congenital Cardiac Defects in Infants and Small Children.婴幼儿先天性心脏缺陷手术修复中的颈静脉插管术
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