Teixeira Pedro G R, DuBose Joe
Department of Surgery and Perioperative Care, University Medical Center Brackenridge, Dell Medical School, University of Texas at Austin, 1501 Red River Street, Austin, TX 78712, USA.
Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; David Grant Medical Center, 101 Bodin Cir, Travis Air Force Base, Fairfield, CA 94535, USA; Division of Vascular Surgery, University of California, Davis, 2315 Stockton Blvd, Davis, CA 95817, USA; Division of Trauma, Acute Care Surgery and Surgical Critical Care, University of California, Davis, 2315 Stockton Blvd, Davis, CA 95817, USA.
Surg Clin North Am. 2017 Oct;97(5):1133-1155. doi: 10.1016/j.suc.2017.05.001. Epub 2017 Aug 17.
Vascular injuries remain among the most challenging entities encountered in trauma care. Improvements in diagnostic capabilities, resuscitation approaches, vascular techniques, and prosthetic device options have afforded considerable advancement in the care of these patients. This evolution in care capabilities continues. Despite advances, uncontrolled hemorrhage due to major vascular injury remains one of the most common causes of death after trauma. Successful management of vascular injury requires the timely diagnosis and control of bleeding sources; to facilitate this task, trauma providers must appreciate the capabilities and limitations of diagnostic imaging modalities. Trauma providers must understand when and how to effectively apply these strategies.
血管损伤仍然是创伤护理中最具挑战性的情况之一。诊断能力、复苏方法、血管技术和假体装置选择的改进，为这些患者的护理带来了显著进展。护理能力的这种演变仍在继续。尽管取得了进展，但因主要血管损伤导致的失控性出血仍然是创伤后最常见的死亡原因之一。成功处理血管损伤需要及时诊断并控制出血源；为便于完成这项任务，创伤护理人员必须了解诊断成像方式的能力和局限性。创伤护理人员必须明白何时以及如何有效地应用这些策略。
