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5 岁儿童钝性腘动脉创伤的股-腘远侧旁路：有限资源环境下的考虑因素。

Femoro-distal bypass in a 5-year old with blunt popliteal artery trauma: Considerations in a limited resource setting.

机构信息

Department of Surgery, Port-of-Spain General Hospital, Port-of-Spain, Trinidad and Tobago, West Indies, Trinidad and Tobago.

Department of Paediatric Surgery, Eric Williams Medical Sciences Complex, Trinidad, Trinidad and Tobago, West Indies, Trinidad and Tobago.

出版信息

Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):119-121. doi: 10.4103/ajps.AJPS_51_20.

DOI:10.4103/ajps.AJPS_51_20
PMID:33342848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8051623/
Abstract

Blunt popliteal vascular injury in the paediatric population is exceedingly rare and in advanced trauma centres the management can be challenging. A case of blunt popliteal artery trauma in a 5 years old requiring distal bypass using reversed saphenous vein is herein described. It is noteworthy to mention the difficulties experienced in a limited resource setting, including limitations in small rural hospitals, inefficient timely transfer to specialised centres, inadequate numbers of highly trained surgeons in subspecialities such as microvascular surgery and finally ineffective support and rehabilitative services.

摘要

儿童的钝性腘血管损伤极为罕见，在高级创伤中心，其管理颇具挑战性。本文描述了一例 5 岁儿童的钝性腘动脉创伤，需要使用逆行隐静脉进行远端旁路手术。值得注意的是，在资源有限的情况下，包括小农村医院的局限性、向专门中心的及时转移效率低下、微血管外科等亚专业领域受过高度训练的外科医生人数不足，以及支持和康复服务效率低下等方面存在困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/604d4883d271/AJPS-17-119-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/9039072345fc/AJPS-17-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/12f2f1390cb5/AJPS-17-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/7aebec4780ca/AJPS-17-119-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/7e39568c1384/AJPS-17-119-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/a3dccc93253e/AJPS-17-119-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/604d4883d271/AJPS-17-119-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/9039072345fc/AJPS-17-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/12f2f1390cb5/AJPS-17-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/7aebec4780ca/AJPS-17-119-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/7e39568c1384/AJPS-17-119-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/a3dccc93253e/AJPS-17-119-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3642/8051623/604d4883d271/AJPS-17-119-g006.jpg

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Outcomes and Predictors of Popliteal Artery Injury in Pediatric Trauma.小儿创伤中腘动脉损伤的结局与预测因素
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Injury. 2012 Oct;43(10):1709-11. doi: 10.1016/j.injury.2012.06.012. Epub 2012 Jul 7.
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