下腔静脉损伤15例诊治体会  

Experience of diagnosis and treatment of inferior vena cava injury： A report of 15 cases

作　　者：李介秋[1] 许玉春[1] 彭浩[1] 葛健军[1] 刘飞[1] 谢小丰[1] 

机构地区：[1]解放军第一六三医院血管外科,长沙410003

出　　处：《腹部外科》2011年第5期280-281,共2页Journal of Abdominal Surgery

摘　　要：目的探讨下腔静脉损伤的诊治。方法对1990年1月至2011年1月收治的15例下腔静脉损伤病人的临床资料进行回顾性分析。结果肾静脉开口以上段下腔静脉损伤7例，肾静脉开口及开口以下段下腔静脉损伤8例，15例均手术治疗，均在直视下修补。死亡2例（13．3％）。结论快速诊断和合理抗休克及准确下腔静脉修补是抢救成功的关键。Objective To study the diagnosis and treatment of inferior vena cava injury. Methods The clinical data of 15 cases of injury of inferior vena cava were retrospectively analyzed during 1990 - 2011. Results There were 7 cases of injury of inferior vena cava above the renal vein openings and 8 cases of injury of inferior vena cava at the openings of renal vein or under the renal vein openings. The 15 cases received surgical treatment of direct repair. There were 2 operative deaths. Conclusion Rapid diagnosis, reasonable anti- shock and accurate inferior vena cava rapair are critical to the success of the rescue.

关 键 词：腔静脉 下 创伤与损伤 肾静脉 

分 类 号：R654.3[医药卫生—外科学]