肾上段腹主动脉破裂出血的紧急控制方法一般包括直接压迫,经破口插入带有气囊的导管,通过右膈脚、左胸或腹膜后直接钳夹,或翻起左腹壁钳夹阻断.作者对几例病人作了扩大的Kocher切口,觉得在腹腔动脉和肠系膜上动脉间易于接近主动脉,因此,后来在尸检中和在2例需要紧急控制主动脉的病人中对这一部位作了较密切的和前瞻性的观察.20例尸解表明,通过一个扩大的Kocher切口,经胰后游离主动脉是可行的.沿十二指肠第二部的外侧缘,从Winslow孔到十二指肠第三部的近侧广泛切开后腹膜,这里不会遇到重要的解剖结构.向左肩方向牵开十二指肠和胰腺的同时,也使腹腔动脉向前牵开,在腹腔动脉和肠系膜上动脉间显露主动脉.切开 Emergency management of upper renal abdominal aortic rupture bleeding generally includes direct compression through the breach into the catheter with a balloon through the right phrenic foot, left chest or retroperitoneal direct clamp, or open the left abdominal wall clamp block. The authors made extensive Kocher incisions on several patients and found that the aorta was easily accessible between the celiac and superior mesenteric arteries and was subsequently made in autopsy and in 2 patients who needed emergency control of the aorta A closer and prospective observation.20 autopsies demonstrated that via the pancreatic anastomosis via an enlarged Kocher incision was viable along the lateral margin of the second part of the duodenum from the Winslow hole to twelve The proximal part of the third part of the intestine is extensively dissected with the posterior peritoneum, where no major anatomic structures are encountered. While the duodenum and pancreas are retracted in the left shoulder direction, the celiac artery is also retracted forward, And between the superior mesenteric artery to reveal the aorta