Nguyen Peter Thanh Tam, Hsu Jeremy M
Trauma Service, Westmead Hospital, Sydney, Australia.
Westmead Clinical School, University of Sydney, Sydney, Australia.
J Trauma Inj. 2023 Dec;36(4):431-434. doi: 10.20408/jti.2023.0017. Epub 2023 Sep 7.
Severe blunt injuries to isolated solid abdominal viscera have been previously managed nonoperatively; however, management algorithms for simultaneous visceral injuries are less well defined. We report a polytrauma case of a 33-year-old man involved in a motorbike collision who presented with left-sided chest and abdominal pain. Initial imaging demonstrated multiple solid organ injuries with American Association for the Surgery of Trauma (AAST) grade V splenic injury and complete devascularization of the left kidney. The patient underwent urgent angioembolic coiling of the distal splenic artery with successful nonoperative management of simultaneous grade V solid organ injuries.
以往对孤立性实性腹部脏器的严重钝性损伤采用非手术治疗；然而，对于同时发生的脏器损伤，治疗方案的定义尚不明确。我们报告一例33岁男性多发伤病例，该患者因摩托车碰撞受伤，出现左侧胸痛和腹痛。初始影像学检查显示多个实性器官损伤，美国创伤外科学会（AAST）分级为V级脾损伤，左肾完全血管离断。患者接受了脾动脉远端紧急血管栓塞线圈治疗，成功地对同时发生的V级实性器官损伤进行了非手术治疗。
