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主动脉破裂并发多处损伤(作者译)

[Rupture of the aorta complicating multiple injuries (author's transl)].

作者信息

Schöll A, Hassenstein J

出版信息

Prakt Anaesth. 1978 Oct;13(5):401-4.

PMID:714848
Abstract

A case of subtotal circumferential rupture of the aorta is described which involved a woman who had sustained multiple injuries in a traffic accident. The rupture was discovered only during autopsy. As this type of injury is generally not diagnosed until after death, knowledge of some of the characteristics signs of rupture of the aorta is important, especially to the physician in charge of an intensive care unit. If there are suspicious signs aortography is essential. The only treatment likely to succeed is surgery, but postoperative mortality is still as high as 20--40 per cent.

摘要

本文描述了一例主动脉环形大部破裂的病例,患者为一名在交通事故中受多处伤的女性。该破裂仅在尸检时才被发现。由于此类损伤通常在死亡后才得以诊断,因此了解主动脉破裂的一些特征性体征非常重要,对于重症监护病房的主管医生而言尤为如此。若出现可疑体征,主动脉造影必不可少。唯一可能成功的治疗方法是手术,但术后死亡率仍高达20%至40%。

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