Menzoian J O, Doyle J E, LoGerfo F W, Cantelmo N, Weitzman A F, Sequiera J C
Arch Surg. 1983 Jan;118(1):93-5. doi: 10.1001/archsurg.1983.01390010069016.
We reviewed our experience with 315 extremity injuries in 306 patients for the possibility of accurately evaluating the presence of a potential vascular injury. Indications for surgical exploration based on the clinical finding of a bruit and/or thrill, ischemia, absent, pulse, shock, hemorrhage, neurologic deficit, hematoma, and proximity resulted in a rate of positive surgical exploration results of between 20% and 100%. Angiography was performed in 65 patients; 24 angiograms showed vascular injury and 41 did not. Angiography for proximity alone revealed 12% abnormal finding. Operative morbidity in the surgically explored group was 2%. We developed an algorithm for the treatment of these patients.
我们回顾了306例患者的315处肢体损伤情况，以评估准确判断潜在血管损伤存在的可能性。基于临床发现的杂音和/或震颤、缺血、脉搏消失、休克、出血、神经功能缺损、血肿以及损伤部位等情况进行手术探查，手术探查阳性结果率在20%至100%之间。65例患者进行了血管造影；24例血管造影显示有血管损伤，41例未显示。仅因损伤部位进行血管造影显示异常结果的比例为12%。手术探查组的手术并发症发生率为2%。我们制定了针对这些患者的治疗方案。
