Millikan J S, Moore E E
Surg Gynecol Obstet. 1985 Apr;160(4):313-6.
Aortic injuries remain highly lethal. Major factors contributing to death in these patients appear to be free peritoneal hemorrhage and associated abdominal vascular trauma. These conditions often manifest as profound shock upon hospital presentation and portend a grim prognosis. Potential means to improve survival include: 1, vigorous resuscitation and prompt operative intervention in patients with penetrating abdominal trauma presenting in a state of shock; 2, careful search and control of associated vascular injuries prior to definitive aortic repair, and 3, constant vigilance to coagulation function, core temperature and acid-base status.
主动脉损伤仍然具有很高的致死率。导致这些患者死亡的主要因素似乎是腹腔内游离出血和相关的腹部血管创伤。这些情况在患者入院时常常表现为严重休克，预示着预后不良。提高生存率的潜在方法包括：1. 对于休克状态下的穿透性腹部创伤患者，积极进行复苏并迅速进行手术干预；2. 在确定性主动脉修复之前，仔细查找并控制相关的血管损伤；3. 持续密切关注凝血功能、核心体温和酸碱状态。
