Wolf Yehuda G, Rivkind Avraham
Department of Vascular Surgery, Hadassah Medical School-Hebrew University, Jerusalem, Israel.
Surg Clin North Am. 2002 Feb;82(1):237-44. doi: 10.1016/S0039-6109(03)00152-X.
High-velocity gunshot and shrapnel-blast vascular injuries pose a great challenge and need to be approached in a systematic, multidisciplinary fashion. Early revascularization with temporary shunts, the use of autologous tissue, major venous reconstruction, a low threshold for fasciotomy, and reliable tissue coverage are the mainstays of management.
高速枪击和弹片爆炸导致的血管损伤带来了巨大挑战,需要以系统的多学科方式进行处理。采用临时分流管进行早期血管重建、使用自体组织、进行主要静脉重建、保持较低的筋膜切开阈值以及可靠的组织覆盖是治疗的主要方法。