Böhm B, Rimpler H, Anders J, Venbrocks-Rudolf A, Heyne J, Bartel M
Klinik für Orthopädie der Friedrich-Schiller-Universität Jena, Germany.
Zentralbl Chir. 2002 Oct;127(10):909-13. doi: 10.1055/s-2002-35139.
There are about 1.5 million sports injuries in Germany every year, but concomitant vascular injuries are rarely encountered. Only single cases have been reported in the literature. The records of 216 patients with vascular injuries who were admitted to the university hospital in Jena between 1987 and 1996 were retrospectively reviewed. Six patients sustained a vascular injury during the accident in different kinds of sport. Vascular repair was successfully performed in three cases. Organ resection was necessary in two cases and one patient was treated conservatively. Most vascular lesions are related to blunt trauma which might create delayed symptoms of ischemia. Therefore measurement of limb pressures, Doppler scan, duplex ultrasonography and angiography are adjuncts in patients evaluation. In case of bleeding or complete ischemia the prompt arterial reconstruction is indicated and subsequently minimizes the risk of reperfusion injury.
德国每年约有150万例运动损伤，但伴发血管损伤的情况很少见。文献中仅报道过个别病例。对1987年至1996年间在耶拿大学医院住院的216例血管损伤患者的记录进行了回顾性研究。6例患者在不同类型的运动中发生意外时出现血管损伤。3例成功进行了血管修复。2例需要进行器官切除，1例患者接受了保守治疗。大多数血管损伤与钝性创伤有关，钝性创伤可能会导致延迟性缺血症状。因此，肢体压力测量、多普勒扫描、双功超声检查和血管造影是评估患者的辅助手段。在出血或完全缺血的情况下，应立即进行动脉重建，随后将再灌注损伤的风险降至最低。
