Miller Preston R
Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Trauma Surg Acute Care Open. 2023 Apr 6;8(Suppl 1):e001112. doi: 10.1136/tsaco-2023-001112. eCollection 2023.
Our understanding of blunt cerebrovascular injury (BCVI) has evolved considerably over recent decades. It was once seen as a rare injury that was difficult or impossible to predict and had no useful prevention or treatment measures available. In the late 20th century, work by physicians caring for these injuries began to show that this was not the case. There were distinct risk factors for the injury and the often seen interval between injury and stroke provided an opportunity for stroke prevention. Timothy Fabian and the investigators at Memphis have been one of the groups at the forefront of this type of inquiry for >30 years. The contributions of this group has advanced the care of BCVI immensely. This review examines some of the work done by Dr Fabian and his colleagues and its importance in the care of injured patients.
近几十年来,我们对钝性脑血管损伤(BCVI)的认识有了很大的发展。它曾经被视为一种罕见的损伤,难以或无法预测,并且没有有效的预防或治疗措施。在20世纪后期,治疗这些损伤的医生的工作开始表明情况并非如此。这种损伤有明显的危险因素,而且损伤与中风之间常见的时间间隔为预防中风提供了机会。蒂莫西·法比安和孟菲斯的研究人员在30多年来一直是这类研究的前沿团队之一。该团队的贡献极大地推动了BCVI的治疗。这篇综述探讨了法比安博士及其同事所做的一些工作及其在受伤患者护理中的重要性。