O'Neill M J, Myers J L, Brown G R, Harrison J L, DeMuth W E
J Trauma. 1982 Jan;22(1):56-9. doi: 10.1097/00005373-198201000-00011.
The management of a patient with avulsion of the innominate artery from the aortic arch associated with a longitudinal tear on the posterior aspect of the trachea is discussed. It is obviously important to make both diagnoses preoperatively to determine priorities in the surgical management. If the airway injury can be managed by tracheal intubation, then it is recommended that the vascular injury be repaired first. If there is a persistent air leak with respiratory distress, then it is necessary to repair the tracheal injury before performing the vascular procedure. In some patients it may be appropriate to treat the tracheal injury nonoperatively.
讨论了一名无名动脉从主动脉弓撕脱并伴有气管后壁纵向撕裂患者的治疗。术前明确这两种诊断对于确定手术治疗的优先级显然很重要。如果气道损伤可通过气管插管处理，那么建议先修复血管损伤。如果存在持续性漏气并伴有呼吸窘迫，则在进行血管手术之前有必要先修复气管损伤。在一些患者中，非手术治疗气管损伤可能是合适的。
