中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2007, Vol. 29 ›› Issue (3): 422-424.

• 论著 • 上一篇    下一篇

急性胸主动脉减速伤的血管腔内治疗

刘 暴,刘昌伟,宋晓军   

  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
  • 收稿日期:2007-04-17 修回日期:1900-01-01 出版日期:2007-06-30 发布日期:2007-06-30
  • 通讯作者: 刘昌伟

Endovascular Therapy of Acute Traumatic Aortic Transection

LIU Bao,LIU Chang-wei,SONG Xiao-jun   

  1. Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730
  • Received:2007-04-17 Revised:1900-01-01 Online:2007-06-30 Published:2007-06-30
  • Contact: LIU Chang-wei

摘要: 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。

关键词: 胸主动脉减速伤, 诊断, 腔内介入治疗

Abstract: ABSTRACT: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.

Key words: traumatic aortic transection, diacnosis, endovascular tderapy