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一名12岁儿童开放性肘关节脱位合并肱动脉横断伤:病例报告

Brachial artery transection associated with open elbow dislocation in a 12-year-old: a case report.

作者信息

Nazli Yunus, Colak Necmettin, Uras Ismail, Komurcu Mahmut, Cakir Omer

机构信息

Department of Cardiovascular Surgery, Unversity of Fatih, Ankara, Turkey.

出版信息

Vascular. 2013 Feb;21(1):27-30. doi: 10.1258/vasc.2011.cr0282. Epub 2011 Oct 6.

Abstract

Although acute elbow dislocations are common orthopedic injuries, concomitant neurovascular injury is rare. Brachial artery transection can result from open elbow dislocation and responds well to vascular repair. Rapid evaluation and a high level of suspicion are essential to facilitate immediate treatment. Delay to identify vascular injury after elbow dislocation or reduction can potentially lead to limb ischemia, and potential loss of limb. We present a case of relatively rare transection of the brachial artery, with an accompanying traumatic open elbow dislocation in a 12-year-old boy.

摘要

虽然急性肘关节脱位是常见的骨科损伤,但伴发神经血管损伤却很罕见。肱动脉横断伤可由开放性肘关节脱位引起,血管修复效果良好。快速评估和高度怀疑对于促进及时治疗至关重要。肘关节脱位或复位后延迟识别血管损伤可能会导致肢体缺血,甚至可能导致肢体丧失。我们报告了一例相对罕见的肱动脉横断伤病例,该病例发生在一名12岁男孩身上,同时伴有创伤性开放性肘关节脱位。

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