The clinical experience with gunshot injuries to the thoracic aorta at a large urban trauma center was reviewed.
Of 1961 patients admitted with gunshot wounds to the chest, 20 sustained injuries to the thoracic aorta.
Mortality occurred in 17 patients (85%), all of whom were hypotensive or moribund upon admission.
The three patients (15%) presenting with a systolic blood pressure above 100 mm Hg survived ; only one of these underwent surgery during the acute period.
Only two patients were stable enough for aortography.
Advances in the management of critically injured patients have not improved the outcome with this lethal injury.
Mots-clés Pascal : Traumatisme, Plaie pénétrante, Arme à feu, Aorte thoracique, 1990-2000, Epidémiologie, Perspective, Etude critique, Homme, Aorte pathologie, Artère pathologie, Vaisseau sanguin pathologie, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Trauma, Penetrating injury, Fire arm, Thoracic aorta, 1990-2000, Epidemiology, Perspective, Critical study, Human, Aortic disease, Arterial disease, Vascular disease, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0456852
Code Inist : 002B16I. Création : 01/03/1996.