Paling A J, Viersma J H
Department of Surgery, Spaarne Ziekenhuis Haarlem, The Netherlands.
J Pediatr Surg. 1999 Oct;34(10):1557-8. doi: 10.1016/s0022-3468(99)90130-6.
Blunt vascular trauma in children is relatively rare and usually occurs in combination with fractures. Direct blunt trauma of the common femoral artery can lead to complete obstruction of the artery. In children, this obstruction may cause difference in limb growth. The authors describe a case of traumatic intimal rupture of the common femoral artery in an 11-year-old child after a fall from a bicycle. There have been a few reports of blunt trauma to the common femoral artery in children. The patient described had immediate symptoms of ischemia. Prompt reconstruction of the common femoral artery resulted in full recovery. Principles of arterial reconstruction in children are generally the same as in adults. The use of artificial grafts is to be avoided. Follow-up term is unclear as well as the use of anticoagulation therapy.
儿童钝性血管创伤相对少见,通常与骨折合并发生。股总动脉直接钝性创伤可导致动脉完全阻塞。在儿童中,这种阻塞可能导致肢体生长差异。作者描述了一例11岁儿童从自行车上摔下后股总动脉创伤性内膜破裂的病例。关于儿童股总动脉钝性创伤的报道较少。该病例患者有立即出现的缺血症状。股总动脉的及时重建导致完全康复。儿童动脉重建的原则通常与成人相同。应避免使用人工移植物。随访期限以及抗凝治疗的使用情况尚不清楚。