Gedı Ibrahim Ismail, Tahtabasi Mehmet
Department of Radiology, Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia.
Radiol Case Rep. 2020 Jun 12;15(8):1207-1210. doi: 10.1016/j.radcr.2020.05.012. eCollection 2020 Aug.
The brachial artery is the most common injured vessel in the upper extremity. Although vascular injury following blunt trauma is rare, it is a condition to be considered because it can easily be overlooked unless the clinician has a high suspicion. In this paper, we present a blunt trauma case with brachial arterial injury, upper extremity ischemia, and the need for urgent management to salvage the limb. A 28-year-old male had a right arm swelling, pain, and paleness accompanied by a weak pulse in the right radial artery and right-hand numbness. Following resuscitation, preoperative Doppler ultrasound revealed to the brachial artery injury. The right brachial artery had an occlusion with a thrombus. In spectral Doppler analysis, there were demonstrated parvus et tardus waveform in the distal arteries. Doppler ultrasound provided crucial information to make an accurate and rapid management decision.
肱动脉是上肢最常受伤的血管。尽管钝性创伤后血管损伤很少见，但这是一种需要考虑的情况，因为除非临床医生高度怀疑，否则很容易被忽视。在本文中，我们介绍了一例伴有肱动脉损伤、上肢缺血且需要紧急处理以挽救肢体的钝性创伤病例。一名28岁男性出现右臂肿胀、疼痛、苍白，伴有右桡动脉搏动微弱和右手麻木。复苏后，术前多普勒超声显示肱动脉损伤。右肱动脉有血栓形成导致的闭塞。在频谱多普勒分析中，远端动脉显示出小慢波波形。多普勒超声为做出准确快速的处理决策提供了关键信息。
