The choice of treatment strategies of major arteries injury caused by blunt force
Abstract：Objective To investigate the choice of surgical opportunity and treatment strategies in treatment of major arteries damage caused by blunt force,and to explore its effects on postoperative recovery.Methods The clinical data about 16 patients with major arteries injury caused by blunt force who were admitted and treated in our hospital from October 2007 to December 2016 were retrospectively analyzed. The diagnosis methods,choice of surgical opportunity,surgical methods and treatment outcome were analyzed.Results Among 16 patients with major arteries injury caused by blunt force,there were 11 cases of deceleration injury.1 case of motorcycle external injury,2 cases of high-altitude falling injury,1 case of abdominal crush injury,1 case of chest concussion injury.Moreover 2 patients were definitely diagnosed by plain CT scan,14 patients were definitely diagnosed by CT angiography.In addition there were 14 cases of descending thoracic aorta injury,2 cases of abdominal aorta injury. Besides 12 patients with descending thoracic aorta damage were treated by endovascular repair (EVR),1 patient with abdominal aorta damage was treated by abdominal prosthesis replacement,1 patients with abdominal aorta dissection was followed-up and 2 patients died before treatment.Conclusion The patients with major arteries damage caused by blunt force should be examined by CTA to diagnose definitely before operation,and it is necessary to evaluate surgical opportunity and method by considering major artery injury degree and merging injuries,especially brain injury. At present endovascular repair (EVR) is still the best scheme in treatment of major arteries injury.
Keywords：blunt-forced major arteries damagediagnosis methodendovascular repair (EVR)
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 710-713 )