Elias K, Willy C, Engelhardt M
Klinik für Gefässchirurgie, Chirurgisches Zentrum, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Unfallchirurg. 2010 Feb;113(2):122-6. doi: 10.1007/s00113-010-1740-9.
Management of combat-related major vascular injuries is a challenge to all surgeons and a vascular specialist will not always be available in a wartime setting; therefore, every surgeon deployed to a war setting must be able to cope with these life and limb-threatening injuries. Data obtained from searching Medline and Google on the localization and treatment of combat-related vascular injuries of the USA strike forces in Afghanistan and Iraq were analyzed and adjusted to the requirements of the German Armed Forces. A total of 5-7% of casualties sustained major vascular injuries. After initial treatment using damage control measures to control the bleeding and restore perfusion definitive repair with vascular reconstruction must be performed in a facility with a higher level of care. Basic vascular surgical techniques which all military surgeons need to know are presented taking the austere conditions of a wartime environment into consideration. Preparation of all surgeons for deployment to a wartime situation must include basic knowledge and skills in vascular surgery including emergency and vascular reconstruction techniques.
战伤相关的重大血管损伤的处理对所有外科医生而言都是一项挑战，并且在战时环境中并非总能有血管外科专家在场；因此，每一位被部署到战争环境中的外科医生都必须能够应对这些危及生命和肢体的损伤。对通过检索Medline和谷歌获取的关于美国驻阿富汗和伊拉克部队战伤相关血管损伤的定位和治疗的数据进行了分析，并根据德国武装部队的要求进行了调整。共有5%至7%的伤员遭受了重大血管损伤。在采用损伤控制措施进行初始治疗以控制出血并恢复灌注后，必须在具备更高护理水平的机构中进行血管重建的确定性修复。考虑到战时环境的严峻条件，介绍了所有军事外科医生都需要了解的基本血管外科技术。所有外科医生为部署到战时情况所做的准备必须包括血管外科的基本知识和技能，包括急诊和血管重建技术。
