Lassonde J, Laurendeau F
Ann Surg. 1981 Dec;194(6):745-8. doi: 10.1097/00000658-198112000-00014.
This review of 27 cases of blunt injury of the abdominal aorta includes 24 cases reported in the literature and three new cases. Automobile accidents were the cause of this condition in 19 patients (70%). Clinical presentation was acute in 70% of the cases, and consisted of either acute arterial insufficiency or an acute abdomen. Intimal disruption occurred in 15 patients (55%) and was the most common anatomic lesion. Atherosclerotic involvement of the aorta was found in ten patients (37%), and in four it contributed directly to the development of this condition. The infrarenal aorta was the most affected segment (92%). The mortality rate was 29% (8/27 patients). Associated trauma occurred in 55% of the cases, but did mot increase the mortality rate. Prompt recognition and proper surgical treatment are essential in the management of this condition.
本文对27例腹主动脉钝性损伤病例进行了回顾，其中包括文献报道的24例以及3例新病例。19例（70%）由汽车事故导致该病症。70%的病例临床表现为急性，包括急性动脉供血不足或急腹症。15例（55%）出现内膜破裂，这是最常见的解剖学病变。10例（37%）患者的主动脉存在动脉粥样硬化累及，其中4例直接促成了该病症的发生。肾下腹主动脉是最常受累的节段（92%）。死亡率为29%（27例患者中有8例）。55%的病例存在合并伤，但并未增加死亡率。及时识别和恰当的手术治疗对于该病症的管理至关重要。
