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钝性腹部创伤后腹腔内血管损伤

[Intra-abdominal vascular injuries after blunt abdominal trauma].

作者信息

Böckler D, Hatzl J, Bischoff M S, Chang De Hua, Meisenbacher K, Peters A

机构信息

Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Deutschland.

Klinik für Radiodiagnostik und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

出版信息

Chirurgie (Heidelb). 2023 Aug;94(8):696-702. doi: 10.1007/s00104-023-01931-9. Epub 2023 Jul 20.

DOI:10.1007/s00104-023-01931-9
PMID:37470862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10374704/
Abstract

Vascular injuries and hemorrhaging are serious potential complications in the management of patients with blunt abdominal trauma. The treatment depends on the extent and localization and can range from surveillance to endovascular treatment up to open surgery. The keys to success include the focused assessment with sonography for trauma (FAST) management and timely decision making. Abdominal vascular trauma continues to be a difficult problem and open and endovascular techniques continue to evolve in order to address this complex disease process.

摘要

血管损伤和出血是钝性腹部创伤患者治疗过程中严重的潜在并发症。治疗取决于损伤的程度和部位，范围从监测到血管内治疗直至开放手术。成功的关键包括创伤重点超声评估（FAST）管理和及时决策。腹部血管创伤仍然是一个难题，开放手术和血管内治疗技术也在不断发展以应对这一复杂的疾病过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/b4477c942516/104_2023_1931_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/4dff69b78f09/104_2023_1931_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/c94a51cb1730/104_2023_1931_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/9a633cf89b5b/104_2023_1931_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/42d8c93d86b4/104_2023_1931_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/b4477c942516/104_2023_1931_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/4dff69b78f09/104_2023_1931_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/c94a51cb1730/104_2023_1931_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/9a633cf89b5b/104_2023_1931_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/42d8c93d86b4/104_2023_1931_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b9/10374704/b4477c942516/104_2023_1931_Fig5_HTML.jpg

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本文引用的文献

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Hospital mortality of blunt abdominal aortic injury (BAAI): a systematic review and meta-analysis.钝性腹部主动脉损伤（BAAI）的医院死亡率：系统评价和荟萃分析。
World J Emerg Surg. 2023 Mar 29;18(1):26. doi: 10.1186/s13017-023-00492-w.
2
Case report: Resuscitative endovascular balloon occlusion after iatrogenic injury of the common iliac artery during neurosurgical dorsal lumbar microdiscectomy.病例报告：神经外科腰椎后路显微椎间盘切除术期间髂总动脉医源性损伤后的复苏性血管内球囊闭塞术
Front Med (Lausanne). 2023 Feb 2;10:1112847. doi: 10.3389/fmed.2023.1112847. eCollection 2023.
3
Abdominal vascular injuries- what general/ trauma surgeons should know?
腹部血管损伤——普通/创伤外科医生应该知道什么？
J Pak Med Assoc. 2021 Aug;71(8):2027-2031. doi: 10.47391/JPMA.354.
4
Evaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm.钝性创伤后肠管和肠系膜损伤的评估与处理：西部创伤协会关键决策算法
J Trauma Acute Care Surg. 2021 Nov 1;91(5):903-908. doi: 10.1097/TA.0000000000003327.
5
Mesenteric Vascular Injury in Trauma: An NTDB Study.创伤性肠系膜血管损伤：NTDB 研究。
Ann Vasc Surg. 2021 Jan;70:542-548. doi: 10.1016/j.avsg.2020.08.101. Epub 2020 Sep 6.
6
[Resuscitative endovascular balloon occlusion of the aorta (REBOA) : Current aspects of material, indications and limits: an overview].[主动脉复苏性血管内球囊阻断术（REBOA）：材料、适应症和局限性的当前情况：综述]
Chirurg. 2020 Nov;91(11):934-942. doi: 10.1007/s00104-020-01180-0.
7
Contemporary Strategies in the Management of Civilian Abdominal Vascular Trauma.当代平民腹部血管创伤的管理策略
Front Surg. 2018 Feb 19;5:7. doi: 10.3389/fsurg.2018.00007. eCollection 2018.
8
Anatomical landmarks for safely implementing resuscitative balloon occlusion of the aorta (REBOA) in zone 1 without fluoroscopy.在无荧光透视情况下安全实施1区主动脉复苏性球囊阻断术（REBOA）的解剖学标志。
Scand J Trauma Resusc Emerg Med. 2017 Jul 3;25(1):63. doi: 10.1186/s13049-017-0411-z.
9
[Management of bleeding and infections in the context of visceral surgery].[内脏手术中的出血与感染管理]
Chirurg. 2016 Feb;87(2):119-27. doi: 10.1007/s00104-015-0142-5.
10
Patterns and management of blunt abdominal aortic injury.钝性腹主动脉损伤的模式与处理
Ann Vasc Surg. 2013 Nov;27(8):1074-80. doi: 10.1016/j.avsg.2012.09.019. Epub 2013 Jun 20.