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闭合性胸主动脉损伤的病变特异性管理的演变
Evolution of lesion-specific management of blunt thoracic aortic injury
Abstract
Developments in diagnosis and treatment have transformed the management of blunt thoracic aortic injuries (BTAIs). For patients in stable condition, treatment practice has shifted from early open repair to nonoperative management for low-grade lesions and routine delayed endovascular repair for more significant injuries. However, effective therapy depends on accurate staging of injury grade and stability to select patients for appropriate management. Recent developments in BTAI risk stratification enable lesion-specific management tailored to the patient and aortic lesion. This review summarizes advances in lesion assessment and treatment and proposes an integrated scheme for the modern management of BTAI.
摘要
在诊断和治疗的发展已经改变了钝性胸主动脉损伤的管理(btais)。在患者病情稳定,治疗实践已经从早期开放修复治疗为低度病变腔内修复术和常规延迟比较明显的损伤。然而,有效的治疗取决于准确的分期和稳定的损伤程度,选择患者进行适当的管理。在市博泰危险分层的最近的事态发展使病变的具体管理根据患者主动脉瓣病变。本文综述了病变的评估和治疗的进展,提出了对市博泰现代管理的集成方案。
原文:
Evolution of lesion-specific management of blunt thoracic aortic injury.pdf
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