du Toit D F, Greeff M
S Afr Med J. 1986 Jan 18;69(2):139-40.
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.
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。