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两例复杂性创伤性主动脉夹层合并多器官损伤。

Two cases of complex traumatic aortic dissection combined with multiple organ injuries.

作者信息

Song Qingpeng, Bao Lili, Wu Xuejun, Liu Bingqi, Wang Maohua

机构信息

Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, China.

Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, China.

出版信息

Chin J Traumatol. 2025 Jan;28(1):29-34. doi: 10.1016/j.cjtee.2024.08.001. Epub 2024 Aug 5.

Abstract

Traumatic aortic injury (TAI) is an acute, critical, and severe disease, and then combined with multiple organ damage, it is even more dangerous. TAI progresses very rapidly, with a pre-hospital mortality rate of 57%-80%, and even when arriving at the hospital, more than one-third of the patients die within 4 h, and it is the 2nd leading cause of death in individuals aged 4-34 years. In addition, the incidence of TAI combined with injury was 81.4%. Therefore, early diagnosis, expeditious surgery, and timely and effective multidisciplinary cooperation are essential for successful rescue. The authors report 2 patients with acute traumatic aortic dissection combined with multiple organ injuries and treated with emergency endovascular surgery to discuss their clinical characteristics and treatment experience, and to provide experience in the diagnosis and treatment of such patients.

摘要

创伤性主动脉损伤(TAI)是一种急性、危急且严重的疾病,若再合并多器官损伤,则更加危险。TAI进展非常迅速,院前死亡率为57%-80%,即使到达医院,超过三分之一的患者在4小时内死亡,它是4-34岁个体中第二大死亡原因。此外,TAI合并损伤的发生率为81.4%。因此,早期诊断、迅速手术以及及时有效的多学科合作对于成功救治至关重要。作者报告了2例急性创伤性主动脉夹层合并多器官损伤并接受急诊血管内手术治疗的患者,以探讨其临床特征和治疗经验,并为这类患者的诊断和治疗提供经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a5/11840305/e877ac433d29/gr1.jpg

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