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孤立性钝性创伤性肝后下腔静脉损伤的非手术治疗

Non-operative Management of an Isolated Blunt Traumatic Retrohepatic Inferior Vena Cava Injury.

作者信息

Pinto Frederique, Alouidor Reginald, Theodore Sheina

机构信息

Division of Trauma, Critical Care and Acute Care Surgery, Baystate Medical Center, Springfield, USA.

Department of Acute Care Surgery and Trauma, Boston Medical Center, Boston, USA.

出版信息

Cureus. 2023 Mar 27;15(3):e36746. doi: 10.7759/cureus.36746. eCollection 2023 Mar.

Abstract

Traumatic inferior vena cava (IVC) injuries are often fatal. Blunt IVC injuries are encountered less often. Conservative management, albeit an option, is not often discussed in the literature. This report explores the non-operative management of a 52-year-old female unrestrained driver who presented with a blunt retrohepatic IVC injury identified on a computed tomography (CT) scan that revealed IVC disruption with extravasation of contrast. Here, we discuss the nonoperative management of the patient and review the literature concerning IVC anatomy, traumatic injuries, and management. We conclude that a hemodynamically stable patient with an isolated blunt traumatic IVC injury can be managed non-operatively.

摘要

创伤性下腔静脉(IVC)损伤往往是致命的。钝性IVC损伤较少见。保守治疗虽然是一种选择,但在文献中并不常被讨论。本报告探讨了一名52岁未系安全带女性驾驶员钝性肝后IVC损伤的非手术治疗,该损伤在计算机断层扫描(CT)上被发现,显示IVC中断并伴有造影剂外渗。在此,我们讨论该患者的非手术治疗,并回顾有关IVC解剖、创伤性损伤和治疗的文献。我们得出结论,血流动力学稳定的孤立钝性创伤性IVC损伤患者可以进行非手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e8d/10132325/e3009c69e3a5/cureus-0015-00000036746-i01.jpg

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