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穿透性腹部创伤中肠系膜上静脉损伤:病例报告及文献综述

Superior mesenteric vein injury in penetrating abdominal trauma: Case report and a literature review.

作者信息

Mauro D M, Miyazawa B, Nascimento S J, Alves T S, Scorpione J G N

机构信息

Surgical Clinic Department, State University of Londrina, 60 Robert Koch Avenue, Operária, Londrina, PR 86038-350, Brazil.

State University Of Londrina, Centre of Health Sciences, 380 Celso Garcia Cid Highway, PR-445, University Campus, Londrina, PR 86057-970, Brazil.

出版信息

Trauma Case Rep. 2024 Jun 5;52:101045. doi: 10.1016/j.tcr.2024.101045. eCollection 2024 Aug.

Abstract

Injury in the superior mesenteric vein (SMV) is notably rare among abdominal visceral vascular lesions and has high morbidity and mortality. A case of a young patient victim of abdominal stab wound (ASW) with an injury to the SMV and infrarenal aorta was reported. Several factors contributed to the favorable outcome of the patient including rapid response to trauma, hemodynamic stability, and the absence of patient comorbidities. The operative method initially includes rapid abdominal bleeding control and great saphenous patch preparation for the treatment of venous injury associated with damage control surgery and hemodynamic resuscitation at the intensive care unit. The patient was admitted to the surgical emergency room and, despite the severity of the injuries, presented a favorable result after operative treatment.

摘要

肠系膜上静脉(SMV)损伤在腹部内脏血管损伤中极为罕见,且发病率和死亡率很高。本文报道了一例年轻患者因腹部刺伤(ASW)导致SMV和肾下主动脉损伤的病例。患者取得良好预后得益于多种因素,包括对创伤的快速反应、血流动力学稳定以及无合并症。手术方法最初包括迅速控制腹部出血和准备大隐静脉补片,用于治疗与损伤控制手术相关的静脉损伤,并在重症监护病房进行血流动力学复苏。患者被收入外科急诊室,尽管伤势严重,但经手术治疗后取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fe/11252073/a1484901b2a3/gr1.jpg

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