延迟修复钝性创伤性胸主动脉损伤合并连枷胸1例  

Delayed repair of blunt thoracic aortic injury complicated with flail chest:a case report

作　　者：卢双喜 李仁宝 王彪 马诚 LU Shuangxi;LI Renbao;WANG Biao;MA Cheng(Department of Emergency,Shenzhen University General Hospital,Shenzhen,Guangdong,518000,China;Department of Emergency,Dongguan Kanghua Hospital)

机构地区：[1]深圳大学总医院急诊科,广东深圳518000 [2]东莞康华医院急诊科

出　　处：《临床急诊杂志》2022年第5期362-364,共3页Journal of Clinical Emergency

摘　　要：钝性创伤性胸主动脉损伤常源于车祸或高空坠落,是一种高病死率的隐匿性损伤,较易漏诊;对于不同程度的损伤,选择手术时机尤为重要。本文对1例车祸引起的主动脉弓壁间血肿合并连枷胸、肺挫伤、原发性脑损伤等严重多发伤的70岁患者的救治过程进行回顾性分析,为该病的诊断治疗提供参考。对于合并严重多发伤的钝性创伤性胸主动脉损伤而没有破裂迹象的患者,应考虑进行延迟性腔内血管修复术,以增加患者的手术耐受性,提高手术成功率。Blunt traumatic thoracic aortic injury(blunt thoracic aortic injury,BTAI)is often caused by traffic accidents or high-altitude falls.It is a kind of occult injury with high mortality,which is easy to be missed,and it is particularly important to choose the timing of operation for different degrees of injury.A 70-year-old patient with intermural hematoma of aortic arch complicated with flail chest,lung contusion and primary brain injury caused by car accident was analyzed retrospectively in order to provide reference for the diagnosis and treatment of the disease.It is concluded that delayed endovascular repair should be considered for patients with blunt traumatic thoracic aortic injury with severe multiple injuries without signs of rupture,so as to increase the tolerance of the operation and improve the success rate of operation.

关 键 词：钝性 主动脉损伤 胸主动脉腔内修复术 

分 类 号：R654.3[医药卫生—外科学]