Stulz P, Hasse J, Grädel E
Helv Chir Acta. 1979 May;46(1-2):135-40.
Traumatic rupture of the thoracic aorta is a common injury in automobile accidents. It is the result of a crushing chest injury, most frequently associated with sudden deceleration. Approximately 10 to 20% of the individuals with traumatic rupture of the aorta survive temporarily. Diagnosis may be difficult, but if the lesion is promptly diagnosed, appropriate surgical treatment may be life-saving. 9 patients with traumatic aortic rupture have been operated on at our unit since 1969. 2 died postoperatively from acute respiratory distress syndrome. 7 survived the immediate postoperative period without major complications. 2 of them died later after four weeks because of complications not related to the operation. Based on the literature and on our own experience some directions in the management of the traumatic rupture of the thoracic aorta are presented.
胸主动脉创伤性破裂是汽车事故中常见的损伤。它是胸部挤压伤的结果，最常与突然减速相关。约10%至20%的主动脉创伤性破裂患者可暂时存活。诊断可能困难，但如果病变能及时诊断，适当的手术治疗可能挽救生命。自1969年以来，我们科室已对9例创伤性主动脉破裂患者进行了手术。2例术后死于急性呼吸窘迫综合征。7例术后即刻存活，无重大并发症。其中2例在四周后因与手术无关的并发症死亡。基于文献和我们自己的经验，本文提出了一些胸主动脉创伤性破裂的治疗方向。
