Sato M, Nagaoka H, Innami R, Funakoshi N, Fujiwara A
Department of Cardiovascular-Pulmonary Surgery, Tsuchiura Kyoto General Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1991 May;92(5):607-10.
Two cases of acute iliac occlusion due to blunt trauma are presented. The cause of injuries were a fall from bicycle in case 1 and a compression between an automobile and a wall in case 2. The end-to-end anastomosis was possible in case 2, but an interposition of an artificial prosthesis was necessary because of the length of damaged artery in case 1. Both cases were associated with the pelvic fracture, adding the perforation of small bowels and the bladder in case 2. Postoperative course was almost uneventful except fasciotomy was needed for the compartment syndrome of the right lower extremity in case 2.
本文报告了两例因钝性创伤导致的急性髂动脉闭塞病例。病例1的受伤原因是从自行车上跌落，病例2是被汽车与墙壁挤压。病例2可行端端吻合术，但病例1因受损动脉长度问题需植入人工假体。两例均伴有骨盆骨折，病例2还合并小肠和膀胱穿孔。除病例2因右下肢骨筋膜室综合征需行筋膜切开术外，术后病程基本平稳。
