Böckler D, Hatzl J, Bischoff M S, Chang De Hua, Meisenbacher K, Peters A
Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Deutschland.
Klinik für Radiodiagnostik und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Chirurgie (Heidelb). 2023 Aug;94(8):696-702. doi: 10.1007/s00104-023-01931-9. Epub 2023 Jul 20.
Vascular injuries and hemorrhaging are serious potential complications in the management of patients with blunt abdominal trauma. The treatment depends on the extent and localization and can range from surveillance to endovascular treatment up to open surgery. The keys to success include the focused assessment with sonography for trauma (FAST) management and timely decision making. Abdominal vascular trauma continues to be a difficult problem and open and endovascular techniques continue to evolve in order to address this complex disease process.
血管损伤和出血是钝性腹部创伤患者治疗过程中严重的潜在并发症。治疗取决于损伤的程度和部位,范围从监测到血管内治疗直至开放手术。成功的关键包括创伤重点超声评估(FAST)管理和及时决策。腹部血管创伤仍然是一个难题,开放手术和血管内治疗技术也在不断发展以应对这一复杂的疾病过程。