Pillgram-Larsen J, Geiran O
Thoraxkirurgisk avdeling, Ullevál sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Jun 30;117(17):2437-9.
Severe intrathoracic cardiovascular injuries were found in three patients who were drivers of cars involved in head on collisions causing air bags to be released. A 32 year old male had not worn a seat belt, while a 39 year old female was restrained by a seat belt. The male patient suffered an intimal lesion of the brachiocephalic artery. Extensive soft tissue haematomas were seen subcutaneously and retrosternally. The female suffered a rupture of the aortic isthmus and a dislocated pelvic fracture. Vascular repair was performed in both patients. The female died after two months without having regained consciousness. The third patient, a 47 year old male, had not worn a seat belt. He lost his pulse within minutes. Midline emergency thoracotomy showed a complete rupture of the right atrium. An air bag protects against injuries caused by hitting internal parts of the vehicle. It does not necessarily protect against deceleration trauma in high speed collisions.
在三名涉及正面碰撞导致安全气囊弹出的汽车驾驶员患者中发现了严重的胸内心血管损伤。一名32岁男性未系安全带，而一名39岁女性系了安全带。男性患者发生了头臂动脉内膜损伤。皮下和胸骨后可见广泛的软组织血肿。女性患者发生了主动脉峡部破裂和骨盆骨折脱位。两名患者均进行了血管修复。该女性在两个月后未恢复意识死亡。第三名患者是一名47岁男性，未系安全带。他在几分钟内失去了脉搏。中线紧急开胸手术显示右心房完全破裂。安全气囊可防止因撞击车辆内部部件而造成的伤害。但在高速碰撞中，它不一定能防止减速创伤。
