Degiannis E, Velmahos G C, Levy R D, Souter I, Benn C A, Saadia R
Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa.
Ann R Coll Surg Engl. 1996 Nov;78(6):485-9.
This is a retrospective study of 74 patients with penetrating injuries of the abdominal inferior vena cava; the cause of injury was gunshot in 91% and stabbing in 9%. Of the patients, 77% underwent lateral venorrhaphy, 5% underwent infrarenal ligation of the inferior vena cava (IVC), and 18% died perioperatively before any caval repair could be carried out. There was an overall perioperative mortality of 39%. Persistent shock, the site of the venous injury, particularly in the retrohepatic position, and the number of associated vascular injuries were directly related to mortality. Irrespective of the improvements in resuscitation and the various operative methods available, penetrating trauma of the abdominal IVC remains a life-threatening injury.
这是一项对74例腹部下腔静脉穿透伤患者的回顾性研究；损伤原因91%为枪伤，9%为刺伤。患者中，77%接受了侧方静脉缝合术，5%接受了肾下下腔静脉结扎术，18%在能够进行任何腔静脉修复之前围手术期死亡。围手术期总死亡率为39%。持续性休克、静脉损伤部位，尤其是肝后位，以及相关血管损伤的数量与死亡率直接相关。无论复苏措施的改进以及现有各种手术方法如何，腹部下腔静脉穿透伤仍然是一种危及生命的损伤。
