Verschuere I, Van de Sande S, Bruggeman M, De Roose J, Derom F
Acta Chir Belg. 1982 Sep-Oct;82(5):493-500.
The authors analyse a series of 45 vascular trauma treated during the period 1965-1980. It is very important to make a diagnosis as soon as possible and to limit the interval accident-operation. In 40% of our cases we had to operate rather late. Most of those cases were secondary transfers of other hospitals. Arteriography should be performed if there is any doubt. Now we always perform an angiogram during the operation. If there is any associated orthopedic injury, this is handled first, if possible by external fixation. A fasciotomy can be of value to save a limb. Any venous injury should be repaired also.
作者分析了1965年至1980年期间治疗的45例血管创伤病例。尽快做出诊断并缩短事故至手术的间隔时间非常重要。在我们的病例中，40%的患者不得不进行较晚的手术。这些病例大多是从其他医院二次转诊而来的。如果有任何疑问，应进行动脉造影。现在我们总是在手术期间进行血管造影。如果存在任何相关的骨科损伤，如有可能应首先通过外固定进行处理。筋膜切开术对于挽救肢体可能有价值。任何静脉损伤也应进行修复。
