Rutherford R B
University of Colorado Health Sciences Center, Denver.
Surg Clin North Am. 1988 Aug;68(4):683-91. doi: 10.1016/s0039-6109(16)44579-2.
Diagnostic evaluation of patients with possible vascular injuries presents the physician with a number of circumstantial impediments that may limit the applicability of clinical signs and symptoms, noninvasive testing, and angiography. The challenge is to know these limitations and learn to work around them while still applying clinical skills, noninvasive tests, and angiography when appropriate and feasible and to the limits of their worth, rather than to resort to either routine angiography or blind exploration in every case.
对可能存在血管损伤的患者进行诊断评估时，医生会面临一些客观障碍，这些障碍可能会限制临床体征和症状、非侵入性检查以及血管造影的适用性。挑战在于了解这些局限性，并学会在适当可行且在其价值范围内运用临床技能、非侵入性检查和血管造影时，绕过这些局限性，而不是在每种情况下都采用常规血管造影或盲目探查。
