Alberty R E, Goodfried G, Boyden A M
Am J Surg. 1981 Jul;142(1):36-40. doi: 10.1016/s0002-9610(81)80008-6.
If the reviewer has learned anything from this collected series of patients, it is that aggressive management is necessary. Preoperative and especially postoperative arteriography is essential for a high limb salvage rate. The vascular repair should receive priority, and early aggressive fasciotomy may be necessary. If orthopedic repair is done first, it should be done expeditiously so as to not prolong ischemic time. External fixation is recommended in the management of associated orthopedic injury.
如果审阅者从这组收集的患者中有所收获的话，那就是积极的治疗是必要的。术前尤其是术后动脉造影对于提高肢体挽救率至关重要。血管修复应优先进行，早期积极的筋膜切开术可能是必要的。如果先进行骨科修复，应迅速完成，以免延长缺血时间。在处理相关骨科损伤时建议采用外固定。
