胸主动脉钝性损伤诊治流程探讨  

Discussion on the diagnosis and treatment process of blunt thoracic aorta injury

作　　者：刘宇洲 王庆[1] 蔡煌兴 孙林[1] 谢勇 向华[1] LIU Yuzhou;WANG Qin;CAI Huangxing;SUN Lin;XIE Yong;XIANG Hua(Department of Interventional Vascular Surgery,Affiliated First Hospital of Hunan Normal University(Hunan Provincial People’s Hospital),Changsha,Hunan Province 410005,China)

机构地区：[1]湖南师范大学附属第一医院(湖南省人民医院)介入血管外科,湖南长沙410005

出　　处：《介入放射学杂志》2023年第10期1028-1033,共6页Journal of Interventional Radiology

基　　金：湖南省急危重症急救能力提升与突发公共卫生应急救治关键技术协同创新工程项目(2020SK1010)。

摘　　要：胸主动脉钝性损伤(BTAI)严重威胁创伤患者的生命,大部分患者在到达医院前死亡,到达医院的幸存者通常合并全身多发伤。由于此类疾病相对少见,且患者通常处于危重状态,目前我国对此类患者的诊断与救治存在诸多问题,严重影响患者的预后。本文综合国内外最新研究,结合自身经验,综述了BTAI诊断、分级、修复方式及时机,并总结了此类患者的诊治流程,旨在为临床实践提供参考,提高此类患者的预后水平。Blunt thoracic aortic injury(BTAI)seriously threatens the lives of the patients with trauma,most of the patients died before reaching the hospital,and the survivors who can reach the hospital in time often simultaneously have multiple systemic injuries.BTAI is relatively rare in clinical practice,and the patients are usually in critical condition.At present,there are many problems concerning the diagnosis and treatment of such patients in China,which seriously affect the prognosis of patients.Based on the latest research progress at home and abroad,and combined with the experience of domestic experts,this paper reviews the diagnosis,classification,repair mode and timing of BTAI,meanwhile,the diagnosis and treatment procedures of BTAI patients are also summarized,aiming to provide a reference for clinical practice and to improve the prognosis level of such patients.

关 键 词：胸主动脉 损伤 诊断 修复时机 流程 

分 类 号：R654.3[医药卫生—外科学]