Aidinian Gilbert, Fox Charles J, White Paul W, Cox Mitchell W, Adams Eric D, Gillespie David L
Department of Surgery, Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, D.C., USA.
Vasc Endovascular Surg. 2009 Oct-Nov;43(5):497-501. doi: 10.1177/1538574409334824. Epub 2009 Jul 29.
High velocity fragments have resulted in a multitude of complex injuries in the military patients, placing them at increased risk of venous thromboembolism.
A retrospective analysis was performed of all the intravascular ultrasound (IVUS)-guided bedside inferior vena cava (IVC) filters placed between August 2003 and October 2007.
Fourteen patients had bedside IVUS-guided retrievable filter placement. Thirteen males and one female and the mean (+SD) injury severity scores (ISS) was 37.2 (+9.9). The most common causes of injury were explosive devices (57%), gunshot wounds (28%), rocket-propelled grenades (7%), and motor vehicle crashes (7%). Indications for filter insertion were deep venous thrombosis in 36% of patients and pulmonary embolus in 28%. Thirty five percent had filters inserted prophylactically.
Military trauma population ISS is considerably higher than what is reported in the civilian population. The bedside IVUS-guided IVC filter insertion is particularly useful in this population.
高速碎片导致大量军事伤员出现复杂损伤，使其静脉血栓栓塞风险增加。
对2003年8月至2007年10月期间所有在血管内超声（IVUS）引导下于床旁置入下腔静脉（IVC）滤器的病例进行回顾性分析。
14例患者接受了床旁IVUS引导下可回收滤器置入术。其中13例男性，1例女性，平均（+标准差）损伤严重程度评分（ISS）为37.2（+9.9）。最常见的致伤原因是爆炸装置（57%）、枪伤（28%）、火箭推进榴弹（7%）和机动车碰撞（7%）。滤器置入的指征为36%的患者存在深静脉血栓形成，28%的患者存在肺栓塞。35%的患者为预防性置入滤器。
军事创伤人群的ISS显著高于 civilian population 中报告的水平。床旁IVUS引导下IVC滤器置入术在该人群中特别有用。 （注：原文中“civilian population”未翻译，可能是笔误，这里保留英文以便理解）
