Četnost výskytu úrazové ruptury aortyu posádek automobilů při čelním střetu sestatickou či dynamickou protijedoucí překážkou

The Frequency of Occurrence of Traumatic Aortic Rupture in Car-passengersDuring the Frontal Clash to a Static or to a Dynamic Antipodal Obstacle

There is a lesion of aortic thoracic complex in car-passengers during the frontal clash to a staticor to a dynamic antipodal obstacle is described in this study. It is a retrospective analysis. Factswere 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 aorticrupture was noted in 98 (32.9 %) people, the death was in 90.8 % directly on the road and 9.2 % athospital. From the whole people who were accepted to a hospital were 9 (8.9 %) with a traumaticaortic rupture. But nobody of them was transported to a special center and everyone died due totraumatic lesion of cardiovascular system. Statistical significant cofactors of aortic rupture wereatherosclerosis of aortic wall and intensity of clash. Therefore we can expect an aortic rupture inevery third dead frontal car crash participant on a dynamic or static obstacle. Nearly 10 % frommen with traumatic aortic rupture were transported to a hospital. No aortic rupture was diagnosed.

Key words:
traffic accident - aortic rupture - victim - injury - car