Petrov K Yu, Zamskiy K S, Kranin D L, Bobin A N, Pecherskaya M S
Burdenko Main Military Clinical Hospital, Moscow, Russia.
Khirurgiia (Mosk). 2024(7):92-102. doi: 10.17116/hirurgia202407192.
The number of victims with damage to the great vessels has increased in recent years due to escalation of armed conflicts. Vascular damages comprise 3% of traumatic injuries in peacetime, and their incidence increases to 15% during hostilities. False aneurysms and traumatic arteriovenous fistulas follow vascular injury in 48.9-68.7% of cases. We present open surgical treatment of traumatic arteriovenous fistulas. The issues of diagnosis, surgical tactics, algorithm of intervention and options for successful treatment are described.
近年来，由于武装冲突的升级，大血管受损的受害者数量有所增加。血管损伤在和平时期占创伤性损伤的3%，在敌对行动期间其发生率增至15%。在48.9%至68.7%的病例中，假性动脉瘤和创伤性动静脉瘘继发于血管损伤之后。我们介绍了创伤性动静脉瘘的开放手术治疗。描述了诊断问题、手术策略、干预算法以及成功治疗的选择。
