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与膝关节脱位相关的腘动脉损伤。(3例治疗成功)

Popliteal artery injuries associated with knee dislocation. (Three cases treated with successful outcome).

作者信息

Settembrini P G, Spreafico G, Zannini P

出版信息

J Cardiovasc Surg (Torino). 1981 Mar-Apr;22(2):135-40.

PMID:7228887
Abstract

Knee dislocation is an uncommon lesion. It is, however, frequently associated with injury to surrounding structures. The possible coexistence of trauma of the popliteal artery is a serious threat to the limb's integrity. Its incidence is high (about one third of cases) and, unless speedily discovered and treated, it leads to limb loss. Three cases of knee dislocation with combined injury to the popliteal artery successfully underwent surgery. On the basis of such experience, the authors survey the questions of vascular reconstructive surgery that still remain open: in particular, the delay in diagnosis, when and if to use angiography, the type of vascular reconstruction, the maximum delay in revascularization.

摘要

膝关节脱位是一种罕见的损伤。然而,它常伴有周围结构的损伤。腘动脉损伤的可能并存对肢体完整性构成严重威胁。其发生率很高(约占病例的三分之一),除非迅速发现并治疗,否则会导致肢体丧失。三例伴有腘动脉合并损伤的膝关节脱位患者成功接受了手术。基于此类经验,作者探讨了血管重建手术中仍未解决的问题:特别是诊断延迟、何时以及是否使用血管造影、血管重建的类型、血管再通的最长延迟时间。

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