CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Soud. Lék., 47, 2002, No. 4, p. 59 - 63 |
The Frequency of Occurrence of Traumatic Aortic Rupture in Car-passengers
During the Frontal Clash to a Static or to a Dynamic Antipodal Obstacle Hazuková R.1, Hottmar P.2, Lonský V.1, Šafr M.2, Kuneš P.1 1Kardiochirurgická klinika FN Hradec Králové, 2Ústav soudního lékařství LF a FN Hradec Králové, |
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Summary: There is a lesion of aortic thoracic complex in car-passengers during the frontal clash to a static
or to a dynamic antipodal obstacle is described in this study. It is a retrospective analysis. Facts
were noted especially from dissectional documents. All from 298 men died. The main cause of car -
passengers death was a weighty traumatic lesion of cardiovascular system in 58.7 %. The aortic
rupture was noted in 98 (32.9 %) people, the death was in 90.8 % directly on the road and 9.2 % at
hospital. From the whole people who were accepted to a hospital were 9 (8.9 %) with a traumatic
aortic rupture. But nobody of them was transported to a special center and everyone died due to
traumatic lesion of cardiovascular system. Statistical significant cofactors of aortic rupture were
atherosclerosis of aortic wall and intensity of clash. Therefore we can expect an aortic rupture in
every third dead frontal car crash participant on a dynamic or static obstacle. Nearly 10 % from
men with traumatic aortic rupture were transported to a hospital. No aortic rupture was diagnosed.
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