穿透性腹部创伤中的肠系膜上静脉损伤:病例报告和文献综述

Q4 Medicine Trauma Case Reports Pub Date : 2024-06-05 DOI:10.1016/j.tcr.2024.101045
D.M. MAURO , B. MIYAZAWA , S.J. NASCIMENTO , T.S. ALVES , J.G.N. SCORPIONE
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引用次数: 0

摘要

肠系膜上静脉(SMV)损伤在腹部内脏血管病变中非常罕见,而且发病率和死亡率都很高。本研究报告了一例因腹部刀伤(ASW)而导致肠系膜上静脉和肾下主动脉损伤的年轻患者。该患者之所以能获得良好的治疗效果,有几个因素,包括对创伤的快速反应、血液动力学稳定以及患者没有合并症。手术方法最初包括快速控制腹腔出血和大隐静脉补片准备,以治疗与损伤控制手术相关的静脉损伤,并在重症监护室进行血流动力学复苏。患者被送入外科急诊室,尽管伤势严重,但手术治疗后效果良好。
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Superior mesenteric vein injury in penetrating abdominal trauma: Case report and a literature review

Injury in the superior mesenteric vein (SMV) is notably rare among abdominal visceral vascular lesions and has high morbidity and mortality. A case of a young patient victim of abdominal stab wound (ASW) with an injury to the SMV and infrarenal aorta was reported. Several factors contributed to the favorable outcome of the patient including rapid response to trauma, hemodynamic stability, and the absence of patient comorbidities. The operative method initially includes rapid abdominal bleeding control and great saphenous patch preparation for the treatment of venous injury associated with damage control surgery and hemodynamic resuscitation at the intensive care unit. The patient was admitted to the surgical emergency room and, despite the severity of the injuries, presented a favorable result after operative treatment.

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来源期刊
Trauma Case Reports
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.
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