Kurzweg F T
J Trauma. 1980 Mar;20(3):214-9. doi: 10.1097/00005373-198003000-00004.
Thirty-two patients were operated upon for suspected vascular injury following penetrating wounds of the groin. This injury is not uncommon, the patients survive to reach the hospital, and they require aggressive management. Vascular damage was found in 23 of the patients; there were no deaths and only one amputation. Eighteen of the 23 who had vessel injury were in shock upon arrival at the hospital. Of those subsequently found to have no vessel damage, none was in shock. Pulses distal to the injury were noted in six of the 23 patients. Arteriograms performed and interpreted by the surgery residents were helpful but not completely reliable. The repaired vessel must be covered adequately with viable tissue. The one amputation was in a patient in whom there was insufficient tissue to cover the repaired vessel. We conclude that general surgeons should be capable of managing this vascular injury.
32例腹股沟穿透伤疑似血管损伤患者接受了手术治疗。这种损伤并不罕见，患者能够存活至医院，且需要积极治疗。23例患者发现有血管损伤；无死亡病例，仅1例截肢。23例血管损伤患者中有18例入院时处于休克状态。而在随后发现无血管损伤的患者中，无人处于休克状态。23例患者中有6例损伤部位远端可触及脉搏。由外科住院医师进行并解读的动脉造影有帮助但并不完全可靠。修复后的血管必须用有活力的组织充分覆盖。那例截肢患者是因为没有足够的组织覆盖修复后的血管。我们得出结论，普通外科医生应具备处理这种血管损伤的能力。
