Martella A T, Coomaraswamy M
Department of Surgery, Bronx Municipal Hospital Center, NY 10461.
J Trauma. 1993 Jan;34(1):148-50. doi: 10.1097/00005373-199301000-00029.
Death from exsanguination is the immediate outcome in more than 80% of penetrating wounds of the aorta. We report a case in which a gunshot wound to the upper abdomen produced a full-thickness laceration to the diaphragmatic aorta that was missed during the initial exploratory laparotomy. Only 3 days later did the patient develop symptoms of a vascular injury and require reoperation.
超过80%的主动脉穿透伤会直接导致失血性死亡。我们报告一例病例，上腹部枪伤导致膈下主动脉全层裂伤，在初次剖腹探查术中未被发现。仅3天后患者才出现血管损伤症状并需要再次手术。
