Góes Adenauer Marinho de Oliveira, Maurity Mariana Pereira, do Amaral Carlos Alberto Costa
Cirurgia Vascular, Hospital Metropolitano de Urgência e Emergência - HMUE, Ananindeua, PA, Brasil.
Faculdade de Medicina, Universidade Federal do Pará - UFPA, Belém, PA, Brasil.
J Vasc Bras. 2020 Sep 14;19:e20200007. doi: 10.1590/1677-5449.200007. eCollection 2020.
Mortality from penetrating traumas involving the subclavian vessels can be as high as 60% in pre-hospital settings. Operating room mortality is in the range of 5-30%. This paper presents a case in which a strategy for damage control was employed for a patient with an injury to the origin of the left subclavian artery, using subclavian ligation, with no need for any other intervention, and maintaining viability of the left upper limb via collateral circulation. The authors also review surgical approaches and treatment strategies with a focus on damage control in subclavian vessel injuries.
在院前环境中，涉及锁骨下血管的穿透性创伤死亡率可高达60%。手术室死亡率在5%-30%之间。本文介绍了一例针对左锁骨下动脉起始部损伤患者采用损伤控制策略的病例，该策略采用锁骨下结扎，无需任何其他干预，并通过侧支循环维持左上肢的存活能力。作者还回顾了手术方法和治疗策略，重点是锁骨下血管损伤的损伤控制。
