Bunt T J, Malone J M, Moody M, Davidson J, Karpman R
Division of Vascular Surgery, Maricopa Medical Center, Phoenix, Arizona 85008.
Am J Surg. 1990 Aug;160(2):226-8. doi: 10.1016/s0002-9610(05)80312-5.
Vascular injury associated with select blunt trauma-induced orthopedic injuries is thought to occur frequently enough to require angiography in most cases. We sought to establish the actual frequency of such vascular injuries by reviewing all orthopedic and vascular patients seen during 4 years at one institution. A total of 569 at-risk parajoint fractures or dislocations were seen with a 1.5% incidence of vascular injury; all were recognized on clinical examination and vascular consultation then obtained. Vascular injury in this setting is uncommon, associated with particular clinical presentations, and recognized by the orthopedic surgeon, without need for routine angiography or vascular consultation.
与特定钝性创伤所致骨科损伤相关的血管损伤被认为发生频率较高，以至于在大多数情况下都需要进行血管造影。我们通过回顾某机构4年间诊治的所有骨科和血管科患者，试图确定此类血管损伤的实际发生率。共诊治了569例有血管损伤风险的关节旁骨折或脱位患者，血管损伤发生率为1.5%；所有损伤均通过临床检查得以识别，随后进行了血管会诊。在这种情况下，血管损伤并不常见，与特定的临床表现相关，并且能被骨科医生识别，无需常规血管造影或血管会诊。
