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创伤性肾上腺腹主动脉瘤:一名7岁患者的手术重建

Traumatic aneurysm of the suprarenal abdominal aorta: surgical reconstruction in a 7-yr-old patient.

作者信息

Gauderer M W, Wolkoff J S, Izant R J

出版信息

J Pediatr Surg. 1982 Dec;17(6):940-3. doi: 10.1016/s0022-3468(82)80471-5.

Abstract

A 7-yr-old sustained a gunshot wound of the upper abdomen lacerating the portal vein and liver requiring immediate repair. Postoperative angiograms demonstrated two false aneurysms of the aorta between the renal arteries and the superior mesenteric artery. On the thirteenth postoperative day the aneurysms were resected and a Dacron graft interposed between the level of the renal arteries and the celiac axis. The superior mesenteric artery was reattached utilizing a short segment Dacron graft. The boy made a good recovery and is normal after a 3-yr follow-up.

摘要

一名7岁儿童上腹部遭受枪伤,门静脉和肝脏撕裂,需要立即进行修复。术后血管造影显示肾动脉和肠系膜上动脉之间的主动脉有两个假性动脉瘤。术后第13天,切除动脉瘤,并在肾动脉水平和腹腔干之间植入涤纶移植物。利用一小段涤纶移植物重新连接肠系膜上动脉。该男孩恢复良好,经过3年随访后情况正常。

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