Roye G D, Zorn G L, McGiffin D C, Kirklin J W, Hamrick K M, Bessey P Q, Rue L W
Department of Surgery, University of Alabama at Birmingham 35294-0007, USA.
J Trauma. 1995 Oct;39(4):753-6. doi: 10.1097/00005373-199510000-00027.
Penetrating wounds of the central vasculature are highly lethal. Ten cases of aorta-left innominate vein fistulas have been reported in the past, but most have presented late after injury. We report three successfully managed cases that had a short interval between injury and repair, and where we used cardiopulmonary bypass with total circulatory arrest. Preoperative arteriography facilitated planning the operative approach. The ready availability of complete radiologic and surgical resources at a trauma center were responsible for the successful outcome of these highly lethal central vascular injuries.
中央血管的穿透伤具有高度致死性。过去曾报道过10例主动脉-左无名静脉瘘，但大多数患者在受伤后很久才出现症状。我们报告3例成功治疗的病例，这些病例受伤与修复之间的间隔时间较短，且我们在手术中使用了体外循环和完全循环停止技术。术前动脉造影有助于制定手术方案。创伤中心完备的放射学和外科资源是这些高度致死性中央血管损伤得以成功救治的关键。
