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中华损伤与修复杂志(电子版) ›› 2023, Vol. 18 ›› Issue (05) : 438 -441. doi: 10.3877/cma.j.issn.1673-9450.2023.05.013

综述

钝性主动脉损伤诊治的研究进展
张熙浩, 陈作观, 李拥军()   
  1. 100730 北京医院血管外科 国家老年医学中心 中国医学科学院老年医学研究院;100730 北京大学第五临床医学院
    100730 北京医院血管外科 国家老年医学中心 中国医学科学院老年医学研究院
  • 收稿日期:2023-07-29 出版日期:2023-10-01
  • 通信作者: 李拥军
  • 基金资助:
    中国医学科学院医学与健康科技创新工程重大协同创新项目(CIFMS 2021-I2M-1-050)

Recent advances in diagnosis and treatment of blunt aortic injury

Xihao Zhang, Zuoguan Chen, Yongjun Li()   

  1. Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China; Peking University Fifth School of Clinical Medicine, Beijing 100730, China
    Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2023-07-29 Published:2023-10-01
  • Corresponding author: Yongjun Li
引用本文:

张熙浩, 陈作观, 李拥军. 钝性主动脉损伤诊治的研究进展[J/OL]. 中华损伤与修复杂志(电子版), 2023, 18(05): 438-441.

Xihao Zhang, Zuoguan Chen, Yongjun Li. Recent advances in diagnosis and treatment of blunt aortic injury[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(05): 438-441.

钝性主动脉损伤是一种具有潜在致命性的严重血管创伤,因其临床表现无特异性、常合并其他创伤,在很多情况下不能得到及时诊断和治疗。计算机断层扫描血管造影(CTA)目前已成为诊断钝性主动脉损伤的首选检查方式。基于CTA的动脉损伤分级是患者围手术期死亡的决定性因素,也是选择不同治疗方案的重要依据。根据损伤分级的不同,患者可行保守治疗或手术治疗。在解剖和临床条件允许情况下,目前主流术式是血管内修复术。相比于开放手术,血管内修复术对于减少围手术期并发症及死亡具有明显优势。本文就钝性主动脉损伤的诊断、分级和治疗研究进展作一综述,为钝性主动脉损伤的临床诊治提供参考。

Blunt aortic injury is a potentially fatal vascular trauma. However, due to its non-specific clinical manifestations and common combination with other traumas, it is difficult to be diagnosed and treated in time in many cases. Computed tomography angiography (CTA) has become the first choice for the diagnosis of blunt aortic injury. The grade of arterial injury based on CTA is an important determinant for perioperative mortality, as well as the indication of treatment. According to the severity of arterial injury, patients may receive conservative or surgical treatment. As long as the anatomical and clinical conditions permit, the mainstream operation is endovascular repair. Endovascular repair has a significant advantage over open surgery in reducing perioperative complications and death. This article reviewed the research progress of diagnosis, classification and treatment of blunt aortic injury, aiming to provide reference for clinical diagnosis and treatment of blunt aortic injury.

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