Weber Michael A, Fox Charles J, Adams Eric, Rice Rob D, Quan Reagan, Cox Mitchell W, Gillespie David L
Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, MD, USA.
Perspect Vasc Surg Endovasc Ther. 2006 Jun;18(2):141-5. doi: 10.1177/1531003506293451.
Traumatic hemorrhage and vascular injury management have been concerns for both civilian and military physicians. During the 20th century, advances in technique allowed surgeons to focus on vascular repair, restoration of perfusion, limb salvage, and life preservation. Military surgeons such as Makins, DeBakey, Hughes, Rich, and others made significant contributions to the field of surgery in general and vascular surgery in particular. Casualties from combat in Afghanistan and Iraq confront physicians and surgeons with devastating injuries. The current generation of providers is challenged with applying contemporary care while expanding upon the lessons taught by our predecessors. The objective of this report is to review the historical experience with managing military upper extremity arterial injuries and compare that experience with current management.
创伤性出血和血管损伤的处理一直是 civilian 和 military 医生所关注的问题。在 20 世纪，技术的进步使外科医生能够专注于血管修复、灌注恢复、肢体挽救和生命维持。像麦金、德贝基、休斯、里奇等 military 外科医生，在普通外科领域，尤其是血管外科领域做出了重大贡献。阿富汗和伊拉克战争中的伤员让内科医生和外科医生面临毁灭性的损伤。当代的医疗人员面临着在借鉴前辈经验的同时应用现代治疗方法的挑战。本报告的目的是回顾处理 military 上肢动脉损伤的历史经验，并将该经验与当前的处理方法进行比较。
