Abstract:
Traumatic aortic injury (TAI) is an acute, critical, and severe disease, and then combined with multiple organ damage, it is even more dangerous. TAI progresses very rapidly, with a pre-hospital mortality rate of 57% - 80%, and even when arriving at the hospital, more than one-third of the patients die within 4 h, and it is the 2nd leading cause of death in individuals aged 4 - 34 years. In addition, the incidence of TAI combined with injury was 81.4%. Therefore, early diagnosis, expeditious surgery, and timely and effective multidisciplinary cooperation are essential for successful rescue. The authors report 2 patients with acute traumatic aortic dissection combined with multiple organ injuries and treated with emergency endovascular surgery to discuss their clinical characteristics and treatment experience, and to provide experience in the diagnosis and treatment of such patients.
摘要:
创伤性主动脉损伤(TAI)是一种急性,关键,和严重的疾病,然后合并多器官损伤,那就更危险了。TAI进展非常迅速,院前死亡率为57%-80%,甚至到了医院,超过三分之一的患者在4小时内死亡,它是4-34岁人群的第二大死因。此外,TAI合并损伤的发生率为81.4%。因此,早期诊断,迅速的手术,及时有效的多学科合作对于成功救援至关重要。作者报告2例急性外伤性主动脉夹层合并多器官损伤并急诊腔内手术治疗的患者,探讨其临床特点及治疗体会。并为此类患者的诊断和治疗提供经验。