Wenk Heiner
Klinik Lilienthal, Moorhauser Landstraße 3c, 28865, Lilienthal, Deutschland.
Chirurg. 2021 Nov;92(11):1065-1074. doi: 10.1007/s00104-021-01390-0. Epub 2021 Apr 7.
Since the beginning of the twentieth century and the implementation of anesthesia and antisepsis, the knowledge and possibilities in treatment of vascular injury has continuously improved. We are currently experiencing improvements in the preclinical management due to various damage control procedures. Depending on the type of vascular injury (blunt, sharp, with or without defect) the treatment can be conservative in individual cases but in most cases endovascular or open vascular surgery is necessary. In the twenty-first century the surgical treatment by direct suture or replacement of the vessel by a graft is increasingly being supplemented by various endovascular procedures.
自20世纪初麻醉和防腐技术实施以来，血管损伤治疗方面的知识和可能性不断提高。由于各种损伤控制程序，我们目前在临床前管理方面正在取得进展。根据血管损伤的类型（钝性、锐性、有无缺损），个别情况下治疗可以是保守的，但在大多数情况下，血管内或开放性血管手术是必要的。在21世纪，直接缝合或用移植物置换血管的外科治疗越来越多地被各种血管内手术所补充。
