Morales-Uribe Carlos H, Sanabria-Quiroga Alvaro E, Sierra-Jones Juan M
Department of Surgery, Universidad de Antioquia, Medellín, Colombia.
Surg Clin North Am. 2002 Feb;82(1):195-210. doi: 10.1016/S0039-6109(03)00149-X.
Trauma has become a major health problem in Colombia. The large number of trauma patients has made San Vicente de Paul Hospital of Medellín a major national referred trauma center. Under-reporting is a major problem in Colombia, as in other underdeveloped countries, because of the absence of automated information systems. Despite this and limited financial health resources, time to definitive treatment, morbidity, and mortality are similar to those of centers in developed countries. This article has covered the authors' experience with vascular injuries over a period of 5 years, representing 664 patients; the results were shown in this article. In addition, advances made in the development of new tools for the diagnosis of vascular trauma, such as helical CT angiography, were discussed.
创伤已成为哥伦比亚的一个主要健康问题。大量的创伤患者使麦德林的圣维森特·德·保罗医院成为全国主要的创伤转诊中心。与其他不发达国家一样，由于缺乏自动化信息系统，漏报是哥伦比亚的一个主要问题。尽管如此，且卫生资源有限，但确定性治疗的时间、发病率和死亡率与发达国家的中心相似。本文介绍了作者在5年时间里对664例血管损伤患者的治疗经验；结果在本文中呈现。此外，还讨论了螺旋CT血管造影等血管创伤诊断新工具的开发进展。
