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钝性胸主动脉损伤和多处创伤所致十二指肠穿孔Ⅲ级；何者优先？一例报告。

Grade III of Blunt Thoracic Aortic Injury and Duodenal Perforation due to Multiple Trauma; Which Is Priority? A Case Report.

作者信息

Malekpour Alamdari Nasser, Ansari Iman, Askarpour Hamed, Abbasi Maryam

机构信息

Critical Care Quality Improvement Research Center, Shahid Modarres Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.

Department of General Surgery, Shahid Modarres Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2025 Jan 9;13(1):e70025. doi: 10.1002/ccr3.70025. eCollection 2025 Jan.

DOI:10.1002/ccr3.70025
PMID:39802366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717723/
Abstract

Perforation of the duodenum after trauma has a low incidence and its coincidence with BTAI is very rare. The clinical condition of the patient is very important for deciding the treatment priority. In this patient, considering the stable condition and degree of aorta injury, we chose TEVAR before laparotomy.

摘要

创伤后十二指肠穿孔的发生率较低，其与钝性腹部创伤性主动脉损伤（BTAI）同时发生的情况非常罕见。患者的临床状况对于确定治疗优先级非常重要。在该患者中，考虑到其病情稳定以及主动脉损伤程度，我们在剖腹手术前选择了腔内修复术（TEVAR）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/9f1856c8ac82/CCR3-13-e70025-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/9b5edc6ad590/CCR3-13-e70025-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/a4c2caeffa62/CCR3-13-e70025-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/9f1856c8ac82/CCR3-13-e70025-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/9b5edc6ad590/CCR3-13-e70025-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/a4c2caeffa62/CCR3-13-e70025-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d1/11717723/9f1856c8ac82/CCR3-13-e70025-g003.jpg

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Int J Emerg Med. 2024 Sep 5;17(1):113. doi: 10.1186/s12245-024-00690-6.
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The impact of urgency of repair on outcomes following thoracic endovascular aortic repair for blunt thoracic aortic injury.胸主动脉腔内修复术治疗钝性胸主动脉损伤的手术时机对预后的影响。
J Vasc Surg. 2024 Feb;79(2):229-239.e3. doi: 10.1016/j.jvs.2023.10.042. Epub 2023 Oct 29.
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Early Versus Delayed Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury: A Propensity Score-Matched Analysis.
急性创伤性胸主动脉夹层的早期与延迟血管内修复治疗的比较：倾向评分匹配分析。
Ann Surg. 2023 Oct 1;278(4):e848-e854. doi: 10.1097/SLA.0000000000005817. Epub 2023 Feb 13.
4
Does Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury Increase the Probability of Delayed Intra-abdominal Hemorrhage in Patients With Concomitant Blunt Abdominal Trauma?胸主动脉腔内修复术治疗钝性胸主动脉损伤是否会增加合并钝性腹部创伤患者迟发性腹腔内出血的概率？
J Endovasc Ther. 2024 Jun;31(3):428-437. doi: 10.1177/15266028221128200. Epub 2022 Oct 10.
5
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Eur J Trauma Emerg Surg. 2022 Oct;48(5):4079-4091. doi: 10.1007/s00068-022-01930-1. Epub 2022 Mar 14.
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Blunt traumatic thoracic aortic injuries: a retrospective cohort analysis of 2 decades of experience.钝性创伤性胸主动脉损伤：20 年经验回顾性队列分析。
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