• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

床旁超声识别隐匿性血管横断伤，显示逆向血流证据。

Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow.

作者信息

Villarroel Nadia Aracelliz, Wagner William, Schoenfeld Elizabeth

机构信息

UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts.

出版信息

Clin Pract Cases Emerg Med. 2019 Sep 30;3(4):372-375. doi: 10.5811/cpcem.2019.7.42808. eCollection 2019 Nov.

DOI:10.5811/cpcem.2019.7.42808
PMID:31763591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6861028/
Abstract

Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrated a strong distal radial pulse; however, point-of-care ultrasound facilitated an evaluation of the directionality of arterial flow, demonstrating that flow was retrograde via the palmar arch. We subsequently identified a proximal and complete arterial laceration.

摘要

急性血管损伤可能导致严重的残疾和发病。高度的临床怀疑和全面的体格检查是促进及时诊断的关键要素。我们报告一例孤立性穿透伤后急性血管损伤的病例。体格检查显示桡动脉远端搏动强劲；然而，床旁超声有助于评估动脉血流的方向，显示血流通过掌弓逆行。我们随后发现了近端完全性动脉撕裂伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d058/6861028/d661f88d173d/cpcem-03-372-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d058/6861028/71cd6710a557/cpcem-03-372-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d058/6861028/d661f88d173d/cpcem-03-372-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d058/6861028/71cd6710a557/cpcem-03-372-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d058/6861028/d661f88d173d/cpcem-03-372-g002.jpg

相似文献

1
Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow.床旁超声识别隐匿性血管横断伤，显示逆向血流证据。
Clin Pract Cases Emerg Med. 2019 Sep 30;3(4):372-375. doi: 10.5811/cpcem.2019.7.42808. eCollection 2019 Nov.
2
Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma.即时超声及多普勒超声对穿透性和钝性创伤中血管损伤的评估
Crit Ultrasound J. 2017 Dec;9(1):5. doi: 10.1186/s13089-017-0060-5. Epub 2017 Feb 16.
3
Salvage of a radiocephalic fistula by the palmar arch.通过掌弓挽救桡动脉头静脉内瘘
NDT Plus. 2008 Oct;1(5):326-8. doi: 10.1093/ndtplus/sfn129. Epub 2008 Aug 8.
4
The peripheral pulse following arterial injury.动脉损伤后的外周脉搏。
J Trauma. 1980 Nov;20(11):948-51. doi: 10.1097/00005373-198011000-00007.
5
The incidence of acute venous injury as a result of proximity penetrating trauma screened with colour flow duplex ultrasound.采用彩色血流双功超声筛查因近距离穿透性创伤导致的急性静脉损伤的发生率。
Injury. 2014 Jan;45(1):192-6. doi: 10.1016/j.injury.2012.08.056. Epub 2012 Oct 9.
6
Evidence-based Comprehensive Approach to Forearm Arterial Laceration.基于证据的前臂动脉撕裂伤综合治疗方法。
West J Emerg Med. 2015 Dec;16(7):1127-34. doi: 10.5811/westjem.2015.10.28327. Epub 2015 Dec 11.
7
Plication for the treatment of a radio-cephalic fistula with ulnar artery steal.折叠术治疗伴有尺动脉盗血的桡头瘘
Int J Artif Organs. 2016 Feb;39(2):90-3. doi: 10.5301/ijao.5000481. Epub 2016 Mar 14.
8
Retrograde subintimal recanalization of a radial artery occlusion after coronary angiography using the palmar loop technique.冠状动脉造影术后采用掌侧袢技术对桡动脉闭塞进行逆行内膜下再通术。
Cardiovasc Revasc Med. 2015 Jun;16(4):259-61. doi: 10.1016/j.carrev.2014.12.002. Epub 2014 Dec 29.
9
Stab wound of the superficial femoral artery early diagnosed by point-of-care Doppler ultrasound.床旁多普勒超声早期诊断股浅动脉刺伤
Ultrasound J. 2020 Jun 16;12(1):32. doi: 10.1186/s13089-020-00179-2.
10
Innocuous wound with occult central vascular injury: A case report.隐匿性中央血管损伤的无害伤口：一例报告。
SAGE Open Med Case Rep. 2020 Jul 10;8:2050313X20940569. doi: 10.1177/2050313X20940569. eCollection 2020.

引用本文的文献

1
Point-of-care Ultrasound for the Evaluation of Acute Arterial Pathology in the Emergency Department: A Case Series.急诊科床旁超声评估急性动脉病变：病例系列
Clin Pract Cases Emerg Med. 2022 Feb;6(1):1-7. doi: 10.5811/cpcem.2021.11.54904.

本文引用的文献

1
Accuracy of Physical Examination, Ankle-Brachial Index, and Ultrasonography in the Diagnosis of Arterial Injury in Patients With Penetrating Extremity Trauma: A Systematic Review and Meta-analysis.体格检查、踝肱指数及超声检查对穿透性肢体创伤患者动脉损伤诊断的准确性：一项系统评价与Meta分析
Acad Emerg Med. 2017 Aug;24(8):994-1017. doi: 10.1111/acem.13227.
2
The FAST D protocol: a simple method to rule out traumatic vascular injuries of the lower extremities.FAST D方案：一种排除下肢创伤性血管损伤的简单方法。
Crit Ultrasound J. 2017 Dec;9(1):8. doi: 10.1186/s13089-017-0063-2. Epub 2017 Mar 21.
3
Comparing color Doppler ultrasonography and angiography to assess traumatic arterial injuries of the extremities.
比较彩色多普勒超声检查和血管造影术以评估四肢创伤性动脉损伤。
Iran J Radiol. 2015 Jan 1;12(1):e14258. doi: 10.5812/iranjradiol.14258. eCollection 2015 Jan.
4
Evaluating peripheral vascular injuries: is color Doppler enough for diagnosis?评估周围血管损伤：彩色多普勒用于诊断是否足够？
Int Cardiovasc Res J. 2014 Jan;8(1):15-7. Epub 2014 Jan 1.
5
Evaluation and management of penetrating lower extremity arterial trauma: an Eastern Association for the Surgery of Trauma practice management guideline.穿透性下肢动脉创伤的评估和处理：东部创伤外科学会实践管理指南。
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S315-20. doi: 10.1097/TA.0b013e31827018e4.
6
Pseudoaneurysm of the radial artery diagnosed by bedside ultrasound.桡动脉假性动脉瘤经床边超声诊断。
West J Emerg Med. 2009 May;10(2):89-91.
7
Sonographic evaluation of vascular injuries.血管损伤的超声评估。
J Ultrasound Med. 2008 Jan;27(1):95-107. doi: 10.7863/jum.2008.27.1.95.
8
Pitfalls in the use of color-flow duplex ultrasound for screening of suspected arterial injuries in penetrated extremities.彩色血流双功超声用于筛查穿透性肢体可疑动脉损伤时的陷阱。
J Trauma. 1992 Sep;33(3):395-402. doi: 10.1097/00005373-199209000-00010.