Stanton P E, Brown R, Rosenthal D, Clark M, Lamis P A
J Cardiovasc Surg (Torino). 1986 Nov-Dec;27(6):728-30.
Blunt injury in a youth to the external iliac artery with secondary thrombosis, associated clinically with a seemingly minor blunt injury to the right lower quadrant of the abdomen, is presented. Symptoms were delayed, but eventually became dramatic. The methods of diagnosis and evaluation are discussed and the selection of the operative procedure is outlined. The potential of significant vascular injury should be suspected and followed closely in all blunt injuries in the proximity of major vascular conduits. Early and aggressive treatment in the young is mandatory to prevent not only the usual complications of limb ischemia, but the discrepant limb lengths seen in the growing youth deprived of normal circulation to an extremity.
本文介绍了一名青年因钝性损伤导致髂外动脉继发血栓形成，临床上与看似轻微的右下腹部钝性损伤相关。症状出现延迟，但最终变得严重。讨论了诊断和评估方法，并概述了手术方式的选择。在所有靠近主要血管管道的钝性损伤中，应怀疑并密切关注重大血管损伤的可能性。对于年轻人，早期积极治疗不仅是预防肢体缺血常见并发症所必需的，也是预防因肢体正常循环缺失而在生长发育中的青年出现肢体长度差异所必需的。
