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轻微主动脉损伤,诊断日益增多,且管理仍可能存在困难:一例报告。

Minimal aortic injury, increasingly diagnosed, and still potentially difficult to manage: A case report.

作者信息

Carr Cornelia S, Al-Ishaq Fajer, Rao Girish

机构信息

Departments of Cardiac Surgery, Hamad Medical Corporation, Doha, Qatar.

College of Medicine, Qatar University, Doha, Qatar.

出版信息

SAGE Open Med Case Rep. 2025 Mar 22;13:2050313X251330164. doi: 10.1177/2050313X251330164. eCollection 2025.

Abstract

A 50-year-old man fell 4 m, sustaining multiple fractures involving the pelvis and chest. There was no previous medical history or family history of note. Computerized tomography showed a small filling defect in the ascending aorta, as well as multiple rib and pelvic fractures. Due to the minimal nature of the aortic injury, he was managed conservatively. Repeat CT scans at 1 month and 3 months showed complete resolution of the lesion. We discuss the case and the phenomenon of "minimal aortic injury."

摘要

一名50岁男性从4米高处坠落,导致骨盆和胸部多处骨折。既往无特殊病史及家族史。计算机断层扫描显示升主动脉有一个小的充盈缺损,同时还有多根肋骨和骨盆骨折。由于主动脉损伤程度较轻,对其进行了保守治疗。1个月和3个月时的重复CT扫描显示病变完全消退。我们对该病例及“轻微主动脉损伤”现象进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d6/11938872/cdac863a6fd6/10.1177_2050313X251330164-fig1.jpg

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