期刊,中华创伤杂志（英文版） 2020年卷1期_国家学术搜索

期刊信息/Journal information

中华创伤杂志（英文版）

主　　编：王正国

出版周期：双月刊

国际刊号：1008-1275

电子邮箱：cjtrauma@163.com

电　　话：023-68757483

邮政编码：400042

地　　址：重庆市渝中区大坪长江支路10号

中华创伤杂志（英文版）/Journal Chinese Journal of TraumatologyCSCDCSTPCD北大核心

查看更多>>中华医学会主办，中华医学会创伤学分会承办。本刊是全英文高级学术刊物，是中华医学会系列杂志之一。主要对外报道我国创伤学及相关学科的成果与进展，全面反映我国创伤医学的成就与水平，促进和指导我国创伤学研究的发展，提高临床救治水平；同时将国外相应领域进展及动态介绍给中国读者。它使中国的创伤医学走向世界，使外国读者了解中国，促使国内外创伤医学的交流与合作。

正式出版

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Annual review of Chinese Journal of Traumatology 2019

Wen-Jun ZhaoJun-Jun GuanGui-E LiuYuan Tian...

1-4页

查看更多>>摘要：Trauma is the leading cause of death in people under the age of 45 years,and it has gained wide attention from academics worldwide.Therefore,more and more studies have reported on trauma and related fields in recent decades.In 2019,Chinese Journal of Traumatology (CJTEE) published 69 articles covering traffic medicine,wound healing,bone trauma,emergency care,and other hot topics of traumatology.Here we reviewed a series of articles published in QJTEE on the topics mentioned above,try to give a brief introduction of progress in trauma field.

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NETL
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维普
万方数据

Literature review of peripheral vascular trauma: Is the era of intervention coming?

Jian-Long LiuJin-Yong LiPeng JiangWei Jia...

5-9页

查看更多>>摘要：Traumatic peripheral vascular injury is a significant cause of disability and death either in civilian environments or on the battlefield.Penetrating trauma and blunt trauma are the most common forms of vascular injuries.Besides,iatrogenic arterial injury (IAI) is another pattern of vascular trauma.The management of peripheral vascular injuries has been improved in different environments and wars.There are different types of vascular injuries,such as vasospasm,contusion,intimal flaps,intimal disruption or hematoma,external compression,laceration,transection and focal wall defects,etc.The main clinical manifestations of vascular injuries are shock following massive hemorrhage and limb necrosis due to tissue and organ ischemia.Ultrasound,computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are most valuable for assessment of peripheral vascular injuries.Angiography remains the gold standard for diagnosing vascular trauma.Immediate hemorrhage control and rapid restoration of blood flow are the primary goals of vascular trauma treatment.There are many operative treatment methods for vascular injuries,such as vascular suture or ligation,vascular wall repair and vascular reconstruction with blood vessel prostheses or vascular grafts.Embolization,balloon dilation and covered stent implantation are the main endovascular techniques.Surgical operation is still the primary treatment for vascular injuries.Endovascular treatment is a promising alternative,proved to be safe and effective,and preferred selection for patients.In summary,rapid diagnosis and timely surgical intervention remain the mainstays of the treatment.However,many issues need to be resolved by further studies.

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Treatment strategy for traumatic innominate arterial injury

Wei JiaJian-Long LiuJin-Yong LiXuan Tian...

10-14页

查看更多>>摘要：Purpose:To discuss and share the experience of treatment of traumatic innominate arterial injury.Methods:A retrospective analysis was performed on patients with innominate arterial injuries admitted from January 2016 to July 2018 at the department of vascular surgery,Beijing Jishuitan Hospital,China.All the arterial injuries were confirmed by arteriography.Clinical data including mechanism of injury,type of injury,demographics,concomitant injuries,time interval from trauma to blood flow reconstruction,and operation methods were collected.Follow-up program included outpatient visit and duplex-ultrasonography.SPSS version 23.0 was adopted for data analysis.Categorical variables are presented as number and/or frequency and continuous variables as mean ± standard deviation.Result:Altogether 7 patients were included and 6 (85.7％) were male.The mean age of patients was (29.43 ± 7.98) years,range 19-43 years.Six patients had isolated innominate arterial injuries and the rest 1 combined innominate arterial and vein injuries.The injury causes were road accidents in 3 patients,stab wound in 2,gunshot wound in 1,and crush injury in 1.All the 7 patients presented hemorrhagic shock at admission,which was timely and effectively corrected.No perioperative death or technical complications occurred.Intimal injury (n =2) and partial transaction (n =2) of the innominate artery were treated with covered stents.Two patients with complete transection of artery received vascular reconstruction by artificial grafts.One patient with partial transaction received balloon dilation and open surgical repair (hybrid operation).The mean time interval from trauma to blood flow reconstruction was (4.27 ± 0.18) h,range 4.0-4.5 h;while the operation time was (48.57 ± 19.94) min,range 25-75 min.Cerebral infarction occurred in one patient with brain injury due to anticoagulation contraindication.The average follow-up was (13.29 ± 5.65) months,range 6-24 months.No severe stenosis,occlusion,and thrombosis of covered stents or artificial vessels were found by color Doppler ultrasound.Conclusion:Urgent control of hemorrhage and restoration of blood supply are critical for the treatment of traumatic innominate arterial injury.Endovascular therapy is a feasible and effective method with short operation time and less trauma.

原文链接:

NETL
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维普
万方数据

Emergency percutaneous thoracic endovascular aortic repair for patients with traumatic thoracic aortic blunt injury: A single center experience

Xin PuXiao-Yong HuangLian-Jun Huang

15-19页

查看更多>>摘要：Purpose:To analyze the efficacy and outcome of percutaneous thoracic endovascular aortic repair (TEVAR) in patients with traumatic blunt aortic injury in our single-center.Methods:From January 2014 to December 2018,a total of 89 patients with traumatic blunt aortic injuries were treated with emergency TEVAR in our center.Their clinical data such as demographics,operative details and postprocedure outcomes were analyzed retrospectively in this study using SPSS 20 software.Continuous variables were expressed as mean and standard deviation or median and interquartile range.Categorical variables are expressed as the numbers and percentages of patients.Results:The median age of the patients was 37 years,and 76 (85.4％) were males.All the patients were involved in violent accidents and combined with associated injuries.Two patients died while awaiting the operations and 87 patients underwent emergency percutaneous TEVAR,with a 100％ technique success.The mean time interval from admission to operating room was (90.1 ± 18.7) min,and the mean procedure time was (54.6 ± 11.9) min.Eighty (92.0％) patients were operated on under local anesthesia,while other 7 (8.0％) patients were under general anesthesia.Two cases underwent open repair of the femoral arteries because of the pseudoaneurysm formation of the access vessels.A total of 98 aortic covered stent grafts were deployed,of which 11 patients used two stent grafts (all in dissection cases).The length of the stent was (177.5 ± 24.6) mm.The horizontal diameter of aorta arch at the proximal left subclavian artery ostium was (24.9 ± 2.4) mm,the proximal diameter of the covered stent was (30.5 ± 2.6) mm,and the oversize rate of proximal site was (22.7 ± 4.0)％.The proximal landing zone length was (14.1 ± 5.5) mm.The left subclavian artery ostium was completely covered in 5 patients and partially covered in 32 patients.No blood flow reconstruction was performed.The overall aortic-related mortality was 2.25％ (2/89).Among 87 patients,the median follow-up time was 24 months.Postoperative computed tomography angiography scans demonstrated no residual pseudoaneurysm,hematoma or endoleak.One patient complained of mild left upper limb weakness during follow-up due to left subclavian artery occlusion.Neither late death,nor neurological or other complications occurred.Conclusion:Emergency percutaneous endovascular repair is a less invasive and effective approach for the treatment of traumatic blunt aortic injuries.Long-term results remain to be further followed.

原文链接:

NETL
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维普
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Factors determining the side of approach for clipping ruptured anterior communicating artery aneurysm via supraorbital eyebrow keyhole approach

Robin BhattaraiChao-Feng LiangChuan ChenHui Wang...

20-24页

查看更多>>摘要：Purpose:The purpose of this study was to review the microsurgical anatomy and clipping of ruptured anterior communicating artery (AComA) aneurysms and to plan and avoid complications before operation.Methods:A total of 523 cases of cerebral aneurysms admitted to the neurosurgery department of the Third Affiliated Hospital of Sun Yat-Sen University from September 2010 to October 2018 were analyzed retrospectively.Among them,85 patients had ruptured AComA aneurysms.This study was limited to 85 of these cases,whose satisfactory preoperative angiographic diagnostic films can be retrieved from the hospital database system because of the need for detailed review.Results:We performed supraorbital eyebrow keyhole approach (SOEK) craniotomy in 85 patients to clip 85 AComA aneurysms,in the setting of subarachnoid hemorrhage (SAH).Patients' mean age was (52.69 ± 9.94) years (range,28-78 years).The proportions of small,medium and large aneurysms were 83.5％,15.3％,and 1.2％,respectively.The average size of the aneurysms was (5.07 ± 2.36) mm.There were 77.8％ of patients with inferior aneurysms and 81.3％ of patients with superior aneurysms achieved good results.There was a significant correlation between A1 dominance and operation method (p ＜ 0.001).There was no significant relationship between surgical approach and aneurysm projection or A2 plane (p =0.157 & p =0.318).Conclusion:Regardless of whether the A2 plane is open or closed,the A1 dominant side is still a better choice for accessing AComA aneurysms to avoid dangerous premature bleeding.

原文链接:

NETL
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维普
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Comparison of traditional vascular reconstruction with covered stent in the treatment of subclavian artery injury

Xuan TianJian-Long LiuWei JiaPeng Jiang...

25-28页

查看更多>>摘要：Purpose:To explore the significance of traditional vascular reconstruction and covered stent for limb salvage after subclavian artery injury.Methods:Patients with subclavian artery injury admitted to Beijing Jishuitan Hospital from January 2010 to December 2018 were retrospectively analyzed.All the injuries have been confirmed by intraoperative exploration,computed tomography angiography or digital subtraction angiography.Complete or partial amputation injuries were excluded.Mild artery defect or partial intimal damage was treated by interventional implantation,while other patients received open surgeries,including direct suture of small defect less than 2 cm and transplantation with autologous vein or artificial blood when the defect was more than 2 cm.Patients were divided into open surgery group and stent implantation group based on the treatment they received.Patients were followed up at 2 weeks (first stage) and 6 months (second stage) after operation to investigate limb salvage.Student's t-test was used to compare the general data between two groups and Chi-square test to analyze the rate of limb salvage.Results:Altogether 50 cases of subclavian artery injury were treated,including 36 cases of open surgery and 14 cases ofstent implantation.Combination of nerve injury was observed in 27 cases (75.0％) in open surgery group and 12 cases (85.7％) in stent implantation group.Amputation developed in 3 cases with open surgery and 1 case with stent implantation.Consequently the rate of successful limb salvage was respectively 91.7％ (33/36) and 92.9％ (13/14),revealing no significant difference (p ＞ 0.05).Conclusion:Rapid reconstruction of blood circulation is crucial following subclavian artery injury,no matter what kinds of treatment strategies have been adopted,lnterventional stent implantation can achieve a good effect for limb salvage.

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Unexpected complication of arteriovenous fistula of the left common carotid to internal jugular vein following central venous catheterization

Tan Chor Lip HenryTan Jih HueiMohamad YuzaidiLenny Suryani Safri...

29-31页

查看更多>>摘要：Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an arterial puncture rate of ＜1％.This is due to the advancements and wide availability of ultrasound to guide its insertion.Formation of arteriovenous fistula after arterial puncture is an unexpected complication.Till date,only five cases (including this case) of acquired arteriovenous fistula formation has been described due to inadvertent common carotid puncture.The present case is a 26-year-old man sustained traumatic brain injuries,chest injuries and multiple bony fractures.During resuscitative phase,attempts at left central venous catheter via left internal jugular vein under ultrasound guidance resulted in inadvertent puncture into the left common carotid artery.Surgical neck exploration revealed that the catheter had punctured through the left internal jugular vein into the common carotid artery with formation of arteriovenous fistula.The catheter was removed successfully and common carotid artery was repaired.Postoperatively,the patient recovered and clinic visits revealed no neurological deficits.From our literature review,the safest method for removal is via endovascular and open surgical removal.The pull/push technique (direct removal with compression) is not recommended due to the high risk for stroke,bleeding and hematoma formation.

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维普
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Ascending aorta disruption after thoracic blunt trauma

Francesco Giosuè IraceValentina RicoDomenico CiuffettaFabio Miraldi...

32-33页

查看更多>>摘要：Blunt traumatic aortic injury is the second leading cause of death after motor vehicle accidents.The most frequent localisation of aortic lesion is the isthmus,especially in those who survived the accident.Here we report a case of blunt traumatic aortic injury with unusual localisation and modality.A 31 years old man sustained a motorcycle accident,being run over by a car.Computed tomography scan showed an atypical ascending aorta lesion,confirmed by intraoperative finding.The patient underwent emergency ascending aorta replacement with Dacron tubular graft.The patient was discharged uneventfully on 35th postoperative day,after multiple maxillofacial surgeries for concomitant injuries.

原文链接:

NETL
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维普
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Percutaneous suture technique with ProGlide to manage vascular access pseudoaneurysm after percutaneous coronary intervention procedure: A case report

Wei LiuChao LiuShao-Ying Lu

34-37页

查看更多>>摘要：Iatrogenic femoral artery pseudoaneurysm is a common complication of the endovascular procedures.Manual compression and thrombin injection are the conventional techniques to occlude the pseudoaneurysms.However,there are still some failed cases that applied these treatment options.The aim of the study is to seek a potential and alternative method with ProGlide system to close the pseudoaneurysm.During April 2018 to February 2019,2 patients with iatrogenic pseudoaneurysm of the superficial femoral were treated with the suture-base closure device-ProGlide.After punctured the pseudoaneurysm and placed a 6-F sheath,the guide wire was placed in the right femoral artery via the access of the pseudoaneurysm neck,Then the pseudoaneurysm neck was sutured by ProGlide to occlude the blood supply to the pseudoaneurysm.These 2 patients were cured with no complications and complaints,which revealed that percutaneous suture technique with ProGlide at the neck level of pseudoaneurysm provides a novel method for the management of vascular access pseudoaneurysm,especially in those with a wide and short neck.

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维普
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Value of lung ultrasound score for evaluation of blast lung injury in goats

Yu-Qi XueChun-Shuang WuHua-Cai ZhangJuan Du...

38-44页

查看更多>>摘要：Purpose:To establish a severe blast lung injury model of goats and investigate the feasibility of lung ultrasonic score in the evaluation of blast lung injury.Methods:Twenty female healthy goats were randomly divided into three groups by different driving pressures:4.0 MPa group (n =4),4.5 MPa group (n =12) and 5.0 MPa group (n =4).The severe blast lung injury model of goats was established using a BST-I bio-shock tube.Vital signs (respiration,heart rate and blood pressure),lung ultrasound score (LUS),PO2/FiO2 and extravascular lung water (EVLW) were measured before injury (0 h) and at 0.5 h,3 h,6 h,9 h,12 h after injury.Computed tomography scan was performed before injury (0 h) and at 12 h after injury for dynamic monitoring of blast lung injury and measurement of lung volume.The correlation of LUS with PaO2/FiO2,EVLW,and lung injury ratio (lesion volume/total lung volume*100％) was analyzed.All animals were sacrificed at 12 h after injury for gross observation of lung injury and histopathological examination.Statistical analysis was performed by the SPSS 22.0 software.The measurement data were expressed as mean ± standard deviation.The means of two samples were compared using independent-sample t-test.Pearson correlation analysis was conducted.Results:(1) At 12 h after injury,the mortality of goats was 0,41.67％ and 100％ in the 4.0 Mpa,4.5 MPa and 5.0 MPa groups,respectively;the area of pulmonary hemorrhage was 20.00％ ± 13.14％ in the 4.0 Mpa group and 42.14％ ± 15.33％ in the 4.5 MPa group.A severe lung shock injury model was established under the driving pressure of 4.5 MPa.(2) The respiratory rate,heart rate,LUS and EVLW were significantly increased,while PaO2/FiO2 was significantly reduced immediately after injury,and then they gradually recovered and became stabilized at 3 h after injury.(3) LUS was positively correlated with EVLW (3 h:r =0.597,6 h:r =0.698,9 h:r =0.729;p ＜ 0.05) and lung injury ratio (12 h:r =0.884,p ＜ 0.05),negatively correlated with PaO2/FiO2 (3 h:r =-0.871,6 h:r =-0.637,9 h:r =-0.658;p ＜ 0.05).Conclusion:We established a severe blast lung injury model of goats using the BST-I bio-shock tube under the driving pressure of 4.5 MPa and confirmed that ultrasound can be used for quick evaluation and dynamic monitoring of blast lung injury.

原文链接:

NETL
NSTL
维普
万方数据