医学
下腔静脉
损伤控制
复苏
休克(循环)
外科
损伤控制手术
穿透伤
失血性休克
腔静脉
迟钝的
放射科
作者
Christine Castater,Margo Carlin,Virginia Parker,C Sciarretta,Deepika Koganti,Jonathan Nguyen,April A. Grant,Randi N. Smith,Christopher Ramos,Jason D. Sciarretta,Christopher J. Dente,Ravi R. Rajani,S. Rob Todd
标识
DOI:10.1177/0003134820973395
摘要
Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged. This article conducts an in-depth review of the literature surrounding IVC injuries and a detailed discussion of operative strategies and management as survivability is ultimately dependent on the grade of injury, location, and the presence of hemorrhagic shock.
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