腹部大血管损伤的诊断治疗

The Diagnosis and Treatment of Abdominal Great Vascular Trauma

目的:探讨腹部大血管损伤的诊断治疗及进展情况。方法:回顾近十年相关文献资料,进行分析总结。结果:腹部大血管损伤多发于开放性腹部创伤,且常伴有其他部位、器官的损伤,术前确诊困难,死亡率较高,急诊手术是抢救成功的关键措施。结论:对于腹部大血管损伤,由于病情危重不允许更多的时间检查,大多数患者只能在术中明确诊断,仅对血流动力学稳定、体征不明确者,可行B超、CT、血管造影等辅助检查。近年来修复材料和手术技巧的发展进步,使其诊治水平有了很大提高。

Objective：To evaluate the diagnosis, treatment and related progress in abdominal great vascular trauma. Methods： The related references in decade were retrospectively analyzed and summarized. Results：Most abdominal great vasoualr trauma occured in open abdominal trauma, frequently accompanying with injuries in other organs and regions. The properative diagnosis was difficult because of higher mortality. The emergency operation was the key to successful rescue. Conclusion： Most abdominal great vascular trauma can be diagnosed during operation because of severe condition and less time for careful examination. Those with steady haemodynamics and indefinite physical sign may perform B ultrasound, CT and aniography. The progressive repaired materials and surgical techniques improves the diagnosis and treatment.