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经清创和再吻合术治疗的腹主动脉低速枪伤。病例报告。

Low-velocity gunshot injury of the abdominal aorta managed by debridement and re-anastomosis. A case report.

作者信息

du Toit D F, Greeff M

出版信息

S Afr Med J. 1986 Jan 18;69(2):139-40.

PMID:3941950
Abstract

Penetrating injuries to the abdominal aorta are highly lethal despite increasing numbers of reports of successful treatment. A case of survival after a 0,25-calibre gunshot wound of the abdominal aorta is presented. The patient, a young male, also had associated injuries to the liver, stomach and jejunum. He was managed by vigorous resuscitation, emergency laparotomy, aortic debridement and end-to-end re-anastomosis. He was discharged from hospital on the 12th postoperative day.

摘要

尽管有越来越多关于成功治疗的报道,但腹主动脉穿透伤的致死率仍然很高。本文报告了一例腹主动脉0.25口径枪伤后存活的病例。患者为年轻男性,同时伴有肝脏、胃和空肠损伤。通过积极复苏、急诊剖腹手术、主动脉清创和端端再吻合术对其进行治疗。患者术后第12天出院。

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