Peck Michael A, Rasmussen Todd E
Division of Vascular and Endovascular Surgery, Wilford Hall United States Air Force Medical Center, Lackland Air Force Base, TX 78236, USA.
Perspect Vasc Surg Endovasc Ther. 2006 Jun;18(2):159-73. doi: 10.1177/1531003506293450.
The recognition of blunt vascular injury has increased in recent years due to an improved understanding of blunt mechanical forces, mechanisms of injury, and awareness that such injuries are often occult. This has been aided by improved quality and expanded availability of noninvasive studies. As a result, outcomes following blunt vascular injury have improved. Compared to penetrating vascular injury and other vascular disease processes, blunt vascular injury has unique features that make it useful to consider as a distinct clinical entity. Manifestations of blunt vascular injury may develop in a delayed fashion and present with more subtle findings, such as a pulse deficit or diminished ankle-brachial pressure index. The objective of this review is to present a brief historical perspective on blunt vascular injury as well as an appraisal of current diagnostic and treatment strategies. Blunt vascular injury will be discussed in distinct anatomic regions, including cervical and upper and lower extremity and evidence-based management strategies developed.
近年来，由于对钝性机械力、损伤机制的认识有所提高，以及意识到此类损伤往往隐匿，钝性血管损伤的识别率有所上升。无创检查质量的提高和可及性的扩大对此起到了推动作用。因此，钝性血管损伤后的治疗效果有所改善。与穿透性血管损伤和其他血管疾病过程相比，钝性血管损伤具有独特的特征，使其作为一个独特的临床实体来考虑很有意义。钝性血管损伤的表现可能会延迟出现，并呈现出更细微的体征，如脉搏缺损或踝肱压力指数降低。本综述的目的是简要介绍钝性血管损伤的历史背景，并评估当前的诊断和治疗策略。钝性血管损伤将在不同的解剖区域进行讨论，包括颈部、上肢和下肢，并制定基于证据的管理策略。
