Brotman S, Oster-Granite M, Cox E F
Ann Emerg Med. 1982 Mar;11(3):147-8. doi: 10.1016/s0196-0644(82)80241-2.
The efficiency of cross clamping the thoracic aorta for cases of massive hemorrhage and impending cardiac arrest is questionable. We present two cases of major intra-abdominal aortic injury in which the bleeding could not be controlled by cross clamping the thoracic aorta. Multiple collateral pathways around the clamped aorta may have rendered this procedure almost ineffective. In cases of major intra-abdominal arterial disruption, emergency department laparotomy may be necessary.
对于大量出血和即将发生心脏骤停的病例，钳夹胸主动脉的有效性存在疑问。我们报告两例腹主动脉主要损伤病例，其中钳夹胸主动脉无法控制出血。被钳夹主动脉周围的多条侧支循环路径可能使该操作几乎无效。对于腹主动脉主要损伤的病例，可能需要在急诊科进行剖腹手术。
