急性胸主动脉减速伤的血管腔内治疗  

Endovascular Therapy of Acute Traumatic Aortic Transection

作　　者：刘暴[1] 刘昌伟[1] 宋晓军[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院血管外科,北京100730

出　　处：《中国医学科学院学报》2007年第3期422-424,共3页Acta Academiae Medicinae Sinicae

摘　　要：目的尝试应用腔内介入的微创方法治疗急性胸主动脉减速伤(TAT)。方法对1例车祸伤的患者采用CT血管重建(CTA)进行快速诊断及胸主动脉腔内隔绝术进行治疗。结果患者术后胸痛、憋气等症状明显好转,血色素恢复正常,无严重术后并发症。术后6个月随访证实患者一般状况良好,CTA示主动脉支架位置良好,锁骨下动脉通畅。结论胸部撞击伤后应当高度重视有无TAT的可能,重症患者或CTA提示主动脉内膜破损者应当采取积极的治疗措施,腔内治疗应作为首选治疗方法。Objective To explore the feasibility of endovascular stent-graft prostheses in treating acute transaction of thoracic aorta. （TAT） Methods A patient with injury from a car accident was diagnosed by computed tomography angiography （CTA） , and then treated by endovascular therapy immediately. Results After treatment, symptoms such as chest pain and shortness of breath were improved, hemoglobin became normal, and no complication was found. CTA revealed that stent-graft was located in a satisfactory position, and subclavian artery was clearly demonstrated 6 months later. Conclusions Potential TAT should be examined in patients with trauma in the chest. Active treatment should be performed in patients with severe symptoms or CTA-confirmed endoartial injury of aorta, for whom endovascular therapy may be the first choice.

关 键 词：胸主动脉减速伤 诊断 腔内介入治疗 

分 类 号：R543.1[医药卫生—心血管疾病]