Bednarkiewicz M, Prêtre R, Maurice J, Bruschweiler I, Faidutti B
Département de Chirurgie, Hôpital Cantonal Universitaire, Genève, Suisse.
Ann Chir. 1994;48(9):850-1.
Major vascular injuries in closed fracture of the pelvis occur in approximately 1% of cases. In this setting, subadventitial rupture of the external iliac artery is rare. The lesion is responsible for acute ischemia of the lower limb, and may present diagnostic challenges due to frequently associated major local injuries, delayed disappearance of distal pulses, and concomitant neurological damage. Serial clinical examinations along with the use of arteriography are instrumental in avoiding undue delays.
骨盆闭合性骨折中的主要血管损伤约占病例的1%。在这种情况下，髂外动脉外膜下破裂很少见。该病变会导致下肢急性缺血，由于常伴有严重的局部损伤、远端脉搏延迟消失以及并发神经损伤，可能会带来诊断挑战。连续的临床检查以及动脉造影的使用有助于避免不必要的延误。
