Menzoian J O, Doyle J E, Cantelmo N L, LoGerfo F W, Hirsch E
Arch Surg. 1985 Jul;120(7):801-5. doi: 10.1001/archsurg.1985.01390310039008.
A review of our experience with 368 patients with 382 extremity injuries has resulted in a treatment plan resulting in improved patient care and limb survival. A thorough examination of the injured extremity will help diagnose a significant vascular injury in the presence of certain clinical findings, eg, bruit or thrill (100%), signs of acute ischemia (100%), absent pulse (91%), shock (89%), neurologic deficit (78%), and hematoma (55%). Arteriography in proximity injuries has resulted in an abnormal finding in 16% of cases. A total of 165 vascular injuries, including 112 arterial and 53 venous injuries, were repaired using a variety of techniques. In 136 patients undergoing operative intervention, there was no operative mortality and a 1.5% amputation rate.
对368例有382处肢体损伤患者的经验回顾，得出了一个能改善患者护理和肢体存活率的治疗方案。对受伤肢体进行全面检查，有助于在出现某些临床体征时诊断严重的血管损伤，例如，血管杂音或震颤（100%）、急性缺血体征（100%）、脉搏消失（91%）、休克（89%）、神经功能缺损（78%）和血肿（55%）。在临近损伤中，动脉造影有16%的病例出现异常结果。共修复了165处血管损伤，包括112处动脉损伤和53处静脉损伤，采用了多种技术。在136例接受手术干预的患者中，无手术死亡病例，截肢率为1.5%。
