World Journal of Emergency Medicine ›› 2022, Vol. 13 ›› Issue (5): 361-366.doi: 10.5847/wjem.j.1920-8642.2022.091
• Original Articles • Previous Articles Next Articles
Li Li1,2, Li-ying Lin1,2, Yuan-qiang Lu1,2()
Received:
2022-03-12
Accepted:
2022-07-22
Online:
2022-08-23
Published:
2022-09-01
Contact:
Yuan-qiang Lu
E-mail:luyuanqiang@zju.edu.cn
Li Li, Li-ying Lin, Yuan-qiang Lu. Analysis of imaging characteristics of blunt traumatic aortic dissection: an 8-year experience[J]. World Journal of Emergency Medicine, 2022, 13(5): 361-366.
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URL: http://wjem.com.cn/EN/10.5847/wjem.j.1920-8642.2022.091
Table 1.
Baseline characteristics of patients with TAD (n=27)
Characteristics | Value |
---|---|
Age, years | 56.04±16.07 |
Gender | |
Male | 20 (74.07) |
Female | 7 (25.93) |
Smoking | 11 (40.74) |
Drinking | 8 (29.63) |
Hypertension | 8 (29.63) |
Atherosclerosis | 9 (33.33) |
Diabetes | 1 (3.70) |
Initial symptoms | |
Chest pain | 24 (88.89) |
Coma | 2 (7.41) |
Others | 1 (3.70) |
Intubation status | |
Not intubation | 25 (92.59) |
Intubation | 2 (7.41) |
Injury Severity Score | 24.63±6.65 |
Number of patients with AIS ≥3 by body region | |
Chest | 26 (96.30) |
Head, neck | 10 (37.04) |
Face | 0 |
Abdomen | 6 (22.22) |
External | 0 |
Extremity | 3 (11.11) |
Trauma types | |
Falling injury | 8 (29.63) |
Motor-vehicle accidents | 15 (55.56) |
Others | 4 (14.81) |
Associated injuries | |
Brain injury | 6 (22.22) |
Thoracic injury | 20 (74.07) |
Abdominal injury | 5 (18.52) |
Pelvic injury | 2 (7.41) |
Extremity fracture | 5 (18.52) |
Associated spine fractures | |
Cervical spine | 4 (14.81) |
Thoracic spine | 8 (29.63) |
Lumbar spine | 6 (22.22) |
Spinal cord injury | 1 (3.70) |
Treatments | |
TEVAR | 26 (96.30) |
Non-operative management | 1 (3.70) |
Additional treatments | |
Craniotomy | 1 (3.70) |
Rib or clavicle fracture surgery | 5 (18.52) |
Laparotomy | 1 (3.70) |
Pelvic fracture surgery | 2 (7.41) |
Spinal fracture surgery | 3 (11.11) |
Extremity fracture surgery | 5 (18.52) |
Hospital days | 21.04±14.26 |
In-hospital mortality | 0 |
Figure 1.
Locations of proximal aortic intimal tears and features of intimal tears in the isthmus. A: each black dot represents a patient, and the area where the black dot is located is the approximate location where the aortic intimal tear is initiated; B: comparison of aortic intimal tear size in patients with intimal tears initiated from the lesser curvature and greater curvature, respectively; C: comparison of age in patients with intimal tears initiated from the lesser curvature and greater curvature, respectively; D: injury patterns in patients with intimal tears initiated from the lesser curvature and greater curvature, respectively; E: range of intimal tears in patients with intimal tears initiated from the lesser curvature and greater curvature, respectively.
Figure 2.
Comparison of maximum aortic diameter and receiver operating characteristic curves. A: comparison of the maximum diameter of the ascending aorta, aortic arch, thoracic aorta, and abdominal aorta between traumatic aortic dissection (TAD) patients and the control group; B: receiver operating characteristic curves of thoracic aorta maximum diameter.
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