Muck Patrick E, Nunez Timothy C, Hruska Lindy, Kasper Gregory C, Chang C K, Welling Richard E
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA.
Am Surg. 2002 Jan;68(1):11-4.
Blunt vascular trauma is rare as compared with penetrating vascular trauma. The incidence of iliac artery injury has been reported as low as 0.4 per cent of total arterial trauma. Iliac artery injury in blunt trauma is rare because of its anatomic location and protection by the pelvis. This article presents a case of external iliac artery injury secondary to blunt trauma. A deceleration-type mechanism is suggested that results in the production of an intimal flap and later vessel thrombosis. We discuss the clinical details of presentation and angiographic diagnosis as well as treatment options.
与穿透性血管创伤相比,钝性血管创伤较为罕见。据报道,髂动脉损伤的发生率低至总动脉创伤的0.4%。由于其解剖位置和骨盆的保护,钝性创伤中髂动脉损伤很少见。本文介绍了一例钝性创伤继发的髂外动脉损伤病例。提出了一种减速型机制,该机制导致内膜瓣的产生及随后的血管血栓形成。我们讨论了临床表现、血管造影诊断及治疗选择的临床细节。