混合急诊室胸主动脉腔内修复术治疗钝性胸主动脉损伤1例。

Q4 Medicine

Trauma Case Reports Pub Date : 2025-02-01 DOI:10.1016/j.tcr.2025.101124

Mayo Kondo, Takeshi Nishimura, Saki Maemura, Shinichi Ijuin, Haruki Nakayama, Shigenari Matsuyama, Satoshi Ishihara

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引用次数: 0

摘要

背景：混合急诊室（ERs）允许计算机断层扫描（CT）、介入放射学和外科手术在同一套房里进行。重型创伤患者钝性胸主动脉损伤（BTAI）需要快速诊断和治疗。混合急诊室允许临床医生实施多种治疗程序，包括胸血管内主动脉修复（TEVAR），而无需运送患者。病例介绍：一名35岁男子在机动车事故后多处受伤，在休克状态下被转移到我们医院。CT显示IV级BTAI破裂进入胸腔并骨盆骨折。在腹膜前骨盆填充物和经导管动脉栓塞治疗骨盆骨折后不久，在混合急诊室进行TEVAR，没有运送患者。患者于术后第41天转至康复医院。结论：混合急诊室使临床医生能够在同一个地方进行所有挽救生命的手术，包括主动脉损伤的创伤性患者的支架移植。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report

Background

Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to implement multiple therapeutic procedures, including thoracic endovascular aortic repair (TEVAR), for these types of conditions without the need to transport the patients.

Case presentation

A 35-year-old man sustained multiple injuries after a motor vehicle accident and was transferred to our hospital in shock status. CT revealed a grade IV BTAI rupturing into the thoracic cavity and pelvic fracture. Soon after preperitoneal pelvic packing and transcatheter arterial embolization for pelvic fracture, TEVAR was performed in the hybrid ER without transporting the patient. The patient was transferred to a rehabilitation hospital on postoperative day 41.

Conclusion

Hybrid ERs enable clinicians to perform all life-saving procedures, including stent grafting for traumatic patients with aortic injuries, in the same place.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.