Katoch R, Gambhir Rps
Commandant, Military Hospital, Jabalpur.
Reader, Department of Surgery, AFMC, Pune-40.
Med J Armed Forces India. 2010 Oct;66(4):338-41. doi: 10.1016/S0377-1237(10)80013-9. Epub 2011 Jul 21.
Vascular injuries as a part of combat injuries have been recorded since times immemorial. Responsible for death due to exsanguination, the management of vascular injuries was ligation or amputation till the landmark Vietnam experience. The present day management has evolved with advances in modern technology and may start at the battlefield with the application of a tourniquet with the definitive treatment continuing beyond the combat operation theatres. A basic understanding of both blunt and penetrating vascular injuries will help minimize mortality and morbidity.
自古以来,血管损伤作为战伤的一部分就有记载。血管损伤是因失血导致死亡的原因,在具有里程碑意义的越南战争经历之前,对血管损伤的处理是结扎或截肢。随着现代技术的进步,如今的处理方式已经有所发展,可能在战场上就开始使用止血带,而最终治疗会在作战区域之外继续进行。对钝性和穿透性血管损伤有基本的了解将有助于降低死亡率和发病率。