钝性暴力致迟发性主动脉真性动脉瘤一例

One Case Report of Delayed True Aortic Aneurysm Caused by Blunt Violence

摘要: 目的：探讨钝性暴力致迟发动脉瘤的诊断及治疗，以提高临床对其认识水平。方法：总结我院收治的1例车祸外伤致迟发性动脉瘤的临床及随访资料，综合探讨其临床治疗方案。结果：患者入院后择期行“主动脉腔内隔绝术 + 左颈总动脉–左锁骨下转流术”术后恢复良好，伴少量内漏。结论：对于胸钝性暴力伤史合并主动脉周围软组织异常患者，应考虑到本病可能，对于手术指征明确患者，早期发现、早期积极行介入治疗往往明显改善患者预后。

Abstract: Objective: To explore the diagnosis and treatment of delayed aneurysm caused by blunt violence, so as to improve the clinical understanding of the aneurysm. Methods: The clinical and follow-up data of 1 case of delayed aneurysm caused by car accident and trauma in our hospital were summarized. Results: After admission, the patient received “aortic endovascular isolation and left common carotid arterio-left subclavicular bypass” with good postoperative recovery and a small amount of endoleak. Conclusion: For the patients with a history of blunt thoracic trauma combined with abnormal periaortic soft tissue, the possibility of this disease should be considered. For the patients with clear surgical indications, early detection and active interventional treatment often signifi-cantly improve the prognosis of the patients.