Richardson R L, Khandekar A, Moseley P W
South Med J. 1979 Mar;72(3):300-1. doi: 10.1097/00007611-197903000-00020.
Our experience with 36 cases of traumatic rupture of the aorta has prompted an aggressive investigative and surgical approach. Age range, mechanism of injury, and associated injuries are quite variable. Aortogram is essential for diagnosis and should be done with any evidence of mediastinal abnormality following a deceleration injury. The preferred method of repair is graft interposition for the transected aorta, using femoral vein to femoral artery bypass with an oxygenator in the system. The salvage rate is good if an aggressive surgical approach is used.
我们对36例创伤性主动脉破裂的经验促使我们采取积极的检查和手术方法。年龄范围、损伤机制和相关损伤差异很大。主动脉造影对诊断至关重要，在减速性损伤后有任何纵隔异常证据时均应进行。对于横断性主动脉破裂，首选的修复方法是移植血管置换，采用股静脉至股动脉旁路，并在系统中使用氧合器。如果采用积极的手术方法，挽救率良好。
