钝器外伤导致主动脉破裂:病例报告

Pankaj Sahu, Nikhil Mehta, Niranjan Kumar Gunjan
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引用次数: 0

摘要

背景:主动脉破裂是威胁生命的最重要疾病之一。主动脉破裂有多种原因,包括外伤和自发性破裂。病例详情:一名 62 岁的男子被送往太平间进行尸检,死者有道路交通事故史。根据警方和亲属透露的病史,死者是一名退役军官,曾驾驶一辆汽车。尸检结果:死者是一名老年男性。经外部检查,死者胸部和胸部两侧有多处淡红色擦伤。打开胸腔后,发现以下伤痕。胸骨骨折,位于胸骨体和胸骨嵴交界处,周围有外渗血迹。双侧肋骨多处骨折,周围有渗血。讨论:所有主动脉节段在突发钝性创伤后都容易发生破裂。多项研究发现,92%的主动脉破裂发生在峡部,其次是主动脉弓(4%),再次是升主动脉(3%)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aortic Rupture Due to Blunt Force Trauma: A Case Report
 Background: Aortic rupture is one of the most important life-threatening conditions. Aortic rupture can occur by several causes, including trauma and spontaneous rupture. Case Details: A 62-year-old man was brought for an autopsy examination in a mortuary with a history of road traffic accidents. As per history revealed by the police and relatives, the deceased was a retired army officer and was driving a car. Autopsy Finding: The deceased was an elderly male. On external examination, the deceased sustained multiple reddish abraded contusions over the chest and both sides of the chest. On opening the thorax, the following injuries were present. Fracture of sternum was present at junction of body and manubrium associated with extravasations of blood in surrounding area. Multiple fracture of bilateral ribs associated with extravasations of blood in surrounding area. Discussion: All aortic segments are prone to rupture following sudden blunt trauma. In various studies it is found that 92% of aortic rupture occur at isthmus followed by arch of aorta (4%) followed by ascending aorta (3%).
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