该研究采用回顾性分析小儿创伤性胸主动脉破裂(TRA),研究其临床处理方法,包括手术修复、血管内支架置入以及保守疗法。 方法 1985年3月～2002年2月该创伤中心共治疗160例TRA病人,其中11例<16岁,平均年龄(11.9±3.5)岁。所有病人初检胸片均提示纵隔阴影增宽,后均行主动脉造影检查以确诊。1999年后 3例加行螺旋 CT检查,其中 1例额外附加经食道超声心动图检查以辅助诊断。 The study used a retrospective analysis of pediatric traumatic thoracic aortic rupture (TRA), to study its clinical management methods, including surgical repair, endovascular stenting and conservative treatment. METHODS: From March 1985 to February 2002, 160 TRA patients were treated in the trauma center, 11 of whom (16 years) with an average age of 11.9 ± 3.5 years. All patients were chest X-ray examination showed widened mediastinal shadow, after the line of aortography to confirm the diagnosis. After 1999 three cases of additional spiral CT examination, including an additional case of additional transesophageal echocardiography to assist diagnosis.