Blunt Thoracic Aortic Injury

摘要: Most patients with blunt thoracic aortic injuries (BTAI) die at the scene and never receive medical care. For those cases reaching hospital care, early diagnosis appropriate intervention remain main tenets for survival good functional results. Plain chest radiography is an unreliable screening method BTAI, contrast-enhanced CT scans should be considered evaluation of all high-speed deceleration injuries. Multislice scan technology provides a reliable precise diagnosis, traditional contrast arteriography rarely needed. Early intensive blood pressure control restricted fluid resuscitation administration beta-blocker therapy are critical to reduce risk free rupture contained Delayed semi-elective repair injury preferable in instances associated better results than emergent repair. Endovascular stent-graft has now become most commonly used management BTAI. improved reduced incidence paraplegia compared open operative However, endovascular technique device-related complications, there no long-term this method. Conservative monitoring may have role selected minor Overall, BTAI by multidisciplinary teams centers excellence resulted major improvement outcomes.