Journal of Zhejiang University

Journal of Zhejiang University SCIENCE B 2014 Vol.15 No.10 P.864-869

Assessment of internal mammary artery injury after blunt chest trauma: a literature review

Author(s): Jin-ming Chen¹,Jin Lv²,Kai Ma³,Jing Yan²
Affiliation(s): 1. 1. Department of Emergency Medicine, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China more
Corresponding email(s): zjicu@vip.163.com
Key Words: Internal mammary artery injury, Blunt chest trauma, Bleeding, Treatment

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Jin-ming Chen, Jin Lv, Kai Ma, Jing Yan. Assessment of internal mammary artery injury after blunt chest trauma: a literature review[J]. Journal of Zhejiang University Science B, 2014, 15(10): 864-869.

@article{title="Assessment of internal mammary artery injury after blunt chest trauma: a literature review",
author="Jin-ming Chen, Jin Lv, Kai Ma, Jing Yan",
journal="Journal of Zhejiang University Science B",
volume="15",
number="10",
pages="864-869",
year="2014",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1400098"
}

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%A Kai Ma
%A Jing Yan
%J Journal of Zhejiang University SCIENCE B
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%DOI 10.1631/jzus.B1400098

TY - JOUR
T1 - Assessment of internal mammary artery injury after blunt chest trauma: a literature review
A1 - Jin-ming Chen
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A1 - Jing Yan
J0 - Journal of Zhejiang University Science B
VL - 15
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SP - 864
EP - 869
%@ 1673-1581
Y1 - 2014
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1400098

Abstract
Chinese Summary
Academic Network
Reviewer Comment

Abstract: The occurrence, bleeding, and treatment of internal mammary artery (IMA) injury after blunt chest trauma have not been well described in the literature. We reviewed articles published from July 1977 to February 2014 describing IMA injury after blunt chest trauma in 49 patients. There was a predominant incidence in males and on the left side. Blunt trauma to the IMA can cause anterior mediastinal hematoma, hemothorax, pseudoaneurysm, arteriovenous fistula, and extra-pleural hematoma. Of the 49 patients studied, 20 underwent embolization, 22 underwent surgical operation, 4 were managed by clinical observation, and 3 had undescribed treatment. Different parts and extents of IMA injury, adjacent vein injury, as well as the integrity of the pleura determined differences in bleeding modality. Prompt diagnosis, complete hemostasis, aggressive resuscitation, and multidisciplinary teams are recommended for patients with IMA injury.

钝性胸部损伤后内乳动脉损伤的评价

研究目的：评价钝性胸部损伤后内乳动脉损伤的发病率,出血情况和治疗效果。
创新要点：通过分析患者由于钝性胸部损伤导致内乳动脉破裂的病情发展，为快速诊断和治疗提供理论指导，并首次探讨了内乳动脉损伤后出血部位的形成机制。
研究方法：通过MEDLINE文献数据库共检索出49例由于钝性胸部损伤引起内乳动脉破裂的患者（1977年7月至2014年2月），进行了系统性分析。
重要结论：在分析的49例患者中，男性和左内乳动脉有更高的发病率。内乳动脉破裂出血能引起纵隔血肿﹑血胸﹑假性动脉瘤﹑动静脉瘘和胸膜外血肿。其中20例患者给予栓塞治疗，22例选择外科手术，4例进行临床观察，3例未描述治疗情况。内乳动脉损伤的不同程度和范围、临近的静脉损伤以及胸膜的完整性决定了患者的出血类型。在患者的治疗中，推荐快速诊断、彻底止血、加强复苏和团队合作。
钝性损伤；内乳动脉；胸部