Bongard F, Johs S M, Leighton T A, Klein S R
Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance 90509.
J Trauma. 1991 Oct;31(10):1426-31.
Arterial bullet embolism is an uncommon complication of vascular trauma. While many reports exist of peripheral embolism from aortic entry sites, few cases are described of distal embolization from peripheral arteries. Untreated emboli may cause ischemia and threaten the limb at a site far removed from the point of missile entry. Unless suspected, diagnosed, and extracted, these emboli may ultimately result in limb loss in spite of a successful proximal arterial repair. During the last 10 years we treated 4 such cases, all of whom had initial limb salvage. This report describes our diagnostic and operative management of these injuries and collectively summarizes our experience as well as all other cases in the literature.
动脉子弹栓塞是血管创伤中一种罕见的并发症。虽然有许多关于主动脉入口部位外周栓塞的报道，但很少有外周动脉远端栓塞的病例描述。未经治疗的栓子可能导致缺血，并在远离导弹入口点的部位威胁肢体。除非怀疑、诊断并取出这些栓子，否则尽管近端动脉修复成功，这些栓子最终可能导致肢体丧失。在过去10年里，我们治疗了4例这样的病例，所有患者最初均成功保住了肢体。本报告描述了我们对这些损伤的诊断和手术处理，并汇总总结了我们的经验以及文献中所有其他病例。
