Sevitt S
Br J Surg. 1977 Mar;64(3):166-73. doi: 10.1002/bjs.1800640305.
This paper reviews evidence and ideas on closed accidental rupture of the aorta, and refers to an analysis of 37 subjects in whom traumatic aortic ruptures were found at necropsy. The mechanisms of rupture of the ascending aorta and the proximal and distal parts of the descending aorta are discussed. Aortic rupture is one of the major causes of rapid death after traffic accidents, especially in occupants of motor vehicles. However, about 20 per cent of subjects survive for hours, days or longer after the accident, allowing time for surgical repair in some cases.
本文回顾了有关主动脉闭合性意外破裂的证据和观点，并提及对37例在尸检时发现有创伤性主动脉破裂患者的分析。文中讨论了升主动脉以及降主动脉近端和远端的破裂机制。主动脉破裂是交通事故后导致迅速死亡的主要原因之一，尤其是机动车驾乘人员。然而，约20%的患者在事故后存活数小时、数天或更长时间，这使得在某些情况下有时间进行手术修复。
