Emergency surgery of patients with ruptured great vessels and profound shock.

H. Chang, C. R. Hung, F. Y. Lin, S. H. Chu

Research output: Contribution to journalArticle

Abstract

From October 1986 to March 1989, a total of 7 patients who had preoperative profound shock underwent surgical treatment at the National Taiwan University Hospital for a ruptured aorta or vena cava. All 7 patients were men. Their age ranged from 21 to 70 years with a mean of 45 years. Emergency operations were performed due to a ruptured abdominal aortic aneurysm in 2, a ruptured dissecting thoracic aneurysm in 1, a penetrating injury which transected the intrahepatic vena cava in 2, and blunt chest injury which resulted in acute traumatic aortic transection in 2. One of these 7 patients died of acute tubular necrosis, anoxic encephalopathy and secondary sepsis, in spite of successful restoration of circulation. Two patients had postoperative complications. One had a transient paraparesis after an aortic cross-clamp, and the other had a transient impairment of the hepatic function due to the penetrating hepatic injury and the hypoxic hepatic damage. All 6 survivors were restored to an excellent state of health and had minimal post-resuscitation sequelae. We emphasize the importance of aggressive surgical treatment for those patients with the threat of impending death due to massive hemorrhage from a ruptured great vessel.

Original languageEnglish
Pages (from-to)438-442
Number of pages5
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume89
Issue number6
Publication statusPublished - Jun 1990
Externally publishedYes

Fingerprint

Shock
Emergencies
Venae Cavae
Liver
Surgical Shock
Paraparesis
Dissecting Aneurysm
Brain Hypoxia
Aortic Rupture
Thoracic Injuries
Nonpenetrating Wounds
Ruptured Aneurysm
Abdominal Aortic Aneurysm
Wounds and Injuries
Taiwan
Resuscitation
Survivors
Aorta
Sepsis
Necrosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Emergency surgery of patients with ruptured great vessels and profound shock. / Chang, H.; Hung, C. R.; Lin, F. Y.; Chu, S. H.

In: Journal of the Formosan Medical Association = Taiwan yi zhi, Vol. 89, No. 6, 06.1990, p. 438-442.

Research output: Contribution to journalArticle

Chang, H. ; Hung, C. R. ; Lin, F. Y. ; Chu, S. H. / Emergency surgery of patients with ruptured great vessels and profound shock. In: Journal of the Formosan Medical Association = Taiwan yi zhi. 1990 ; Vol. 89, No. 6. pp. 438-442.
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