Rubio P A, Reul F J
Vasc Surg. 1977 Sep-Oct;11(5):304-7. doi: 10.1177/153857447701100505.
The superior mesenteric artery was successfully implanted to a tube graft replacement of the suprarenal abdominal aorta after a gunshot wound. Although injuries to the abdominal aorta carry a high mortality, adequate management and prompt operation can reduce the mortality rate. In cases like this one the ingenuity of the surgeon is at stake, because arterial anastomoses are not always possible to their natural origin. Death from aortic injuries is most commonly caused by hemorrhage and exsanguination, so appropriate measures must be taken as soon as the diagnosis is made to avoid this possibility. Also, patients should not be hypotensive for any long time, so transfusion should be timed carefully, especially when the aortic clamps are being removed.
一名患者因枪伤导致肾上腺水平以下腹主动脉损伤，成功实施了肠系膜上动脉移植至人工血管置换腹主动脉手术。尽管腹主动脉损伤死亡率很高，但恰当的处理和及时的手术能够降低死亡率。在此类病例中，外科医生的智慧面临考验，因为动脉吻合并不总是能够与动脉的自然起始端进行。主动脉损伤导致的死亡最常见的原因是出血和失血过多，因此一旦确诊，必须立即采取适当措施以避免这种情况发生。此外，患者不应长时间处于低血压状态，因此输血时机必须谨慎把握，尤其是在移除主动脉夹时。
