Graham A N, Henderson S A, McCoy G F, Cooper G G, Hood J M
Vascular Surgery Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Eur J Vasc Surg. 1992 Nov;6(6):673-6. doi: 10.1016/s0950-821x(05)80850-3.
We describe a patient who developed serious vascular complications following gunshot wounds to both popliteal fossae. There was minimal evidence of vascular injury on presentation to hospital, in particular ankle systolic pressures were normal. Five days following the initial injuries he was found to have a false aneurysm of the popliteal artery in his right leg and an arteriovenous fistula affecting the popliteal vessels of his left leg. The roles of arteriography and Doppler pressure studies in assessment of possible peripheral vascular injury following penetrating trauma are discussed. It is emphasised that a high index of suspicion and careful clinical review is essential if vascular injuries and their complications are not to be missed.
我们描述了一名患者，其双侧腘窝遭受枪伤后出现了严重的血管并发症。入院时血管损伤的证据极少，尤其是踝关节收缩压正常。初始受伤五天后，发现他右腿腘动脉有假性动脉瘤，左腿腘血管有动静脉瘘。文中讨论了动脉造影和多普勒压力研究在评估穿透性创伤后可能的外周血管损伤中的作用。强调指出，如果要不漏诊血管损伤及其并发症，高度的怀疑指数和仔细的临床检查至关重要。
