Menzoian J O, LoGerfo F W, Doyle J E, Hirsch E F, Nowak M, Sequeira J C, Weitzman A F
Am J Surg. 1982 Aug;144(2):231-4. doi: 10.1016/0002-9610(82)90515-3.
Our experience with 69 vascular injuries in 56 patients led us to modify the management of vascular injuries to the leg. We believe that prompt and complete angiography whenever the general condition of the patient allows it, early fasciotomy when indicated before vascular repair, thrombectomy of the injured artery and vein and local instillation of heparinized saline solution, vascular repair before orthopedic stabilization of fractures in selected cases, external fixation of the fracture when there is significant soft tissue injury, and early skin grafting resulted in an improved level of care with a low morbidity and no mortality in our series.
我们对56例患者的69处血管损伤的治疗经验，促使我们对腿部血管损伤的处理方法进行了改进。我们认为，只要患者的一般情况允许，应尽快进行全面的血管造影；在血管修复前，如有指征应尽早进行筋膜切开术；对受伤的动脉和静脉进行血栓切除术，并局部滴注肝素化盐水溶液；在某些情况下，在骨折进行骨科固定之前先进行血管修复；当存在严重软组织损伤时，对骨折进行外固定；以及早期植皮，这些措施使我们系列病例的护理水平得到了提高，发病率低且无死亡病例。
