Miller C, Maxwell T M, Mandal A K
J Natl Med Assoc. 1980 Apr;72(4):355-7.
Acute traumatic arteriovenous fistulas in major abdominal vessels are relatively rare. They are often difficult to detect without arteriography in a patient with multiple injuries, without a nonexpanding hematoma. To the authors' knowledge this is the first report of an acute traumatic iliac-vena caval fistula. The value of arteriography in diagnosis and the need for early recognition and operation of these lesions are stressed. Definitive arterial and venous reconstruction should be performed whenever feasible.
主要腹部血管的急性创伤性动静脉瘘相对少见。在多发伤患者中，若没有动脉造影，且没有进行性增大的血肿，常常难以检测到这种瘘。据作者所知，这是急性创伤性髂静脉-腔静脉瘘的首例报告。强调了动脉造影在诊断中的价值以及对这些病变进行早期识别和手术的必要性。只要可行，就应进行确定性的动静脉重建。
