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采用大隐静脉移植成功挽救了挤压伤的上肢并重建了肱动脉损伤。

Successful salvage of a crushed upper limb and reconstruction of brachial artery injury using a saphenous venous graft.

作者信息

AlSinan Fatima Mufid, Alshowaiey Rana Ali, Alsaqer Mohammed Abdullah, Abdelmohsen Abdelhalim A

机构信息

Department of General Surgery, Dammam Medical Complex, Dammam, Saudi Arabia.

Department of Vascular Surgery, Dammam Medical Complex, Dammam, Saudi Arabia.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Mar 17;11(3):101786. doi: 10.1016/j.jvscit.2025.101786. eCollection 2025 Jun.

Abstract

A crushed upper limb presents a rare entity seen in trauma patients, often resulting in a significant functional disability. We report a case of a 28-year-old male patient who presented with a crush injury to his upper limb after sustaining a motor vehicle accident. Computed tomography angiography showed an abrupt cutoff of the brachial artery proximal to the elbow joint with no contrast filling distally. Revascularization was successfully done using a saphenous venous graft. This case describes a successful revascularization attempt beyond the golden 6 hours.

摘要

上肢挤压伤是创伤患者中罕见的情况,常导致严重的功能残疾。我们报告一例28岁男性患者,在遭遇机动车事故后出现上肢挤压伤。计算机断层血管造影显示肘关节近端肱动脉突然中断,远端无造影剂充盈。使用大隐静脉移植物成功进行了血运重建。该病例描述了在黄金6小时之后成功进行血运重建的尝试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab0/12008680/5ea38a33b503/gr1.jpg

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