腹部创伤后内脏血管损伤的诊治进展

Progress in Diagnosis and Treatment of Visceral Vascular Injury after Abdominal Trauma

腹部创伤后内脏血管损伤较为少见,多表现为失血性休克,可合并多器官功能衰竭,死亡率较高。早期诊断、抗休克治疗、急诊手术血管修复、吻合或结扎可提高患者生存率,血管介入技术对血管损伤的并发症如假性动脉瘤和肠系膜上动静脉瘘具有良好的治疗效果。为了提高腹部创伤救治能力,降低内脏血管损伤患者死亡率,本文对该类患者的发病率、死亡率、损伤机制、临床表现、诊断与治疗等方面的进展进行了综述。

Visceral vascular injury after abdominal trauma is relatively rare but is often manifested as hemorrhagic shock.The complication together with multiple organ failure can lead to high mortality rate.Thus,it is necessary to apply early diagnosis,anti-shock treatment,emergency surgical vascular repair,anastomosis,or ligation to improve survival rate.For example,interventional vascular technology has good effects on complications of vascular injury such as pseudoaneurysm and superior mesenteric arteriovenous fistula.This review summarized the progress in incidence rate,mortality,injury mechanism,clinical manifestations,diagnosis and treatment of these patients.