Jonung T, Pärsson H, Norgren L
Department of Surgery, University Hospital, Lund, Sweden.
Vasa. 1995;24(2):130-4.
In order to review the management of vascular trauma in Sweden all surgical and orthopedic departments were asked to report retrospectively vascular injuries occurring between 1986 and 1990. There were 294 injuries reported from 55 departments. The majority (approximately 80%) of the injuries were confined to the extremities. In the arms the injuries of the vessels were mostly simple, whereas in the legs they were more complex and correct treatment demanded extensive experience in vascular surgery. No less than 20% of the injuries were iatrogenic and half of them required reconstructive surgery. 55% of the iatrogenic injuries occurred during angiological examinations and treatments. Complex vascular injuries are often combined with fractures and soft tissue damage and required close cooperation between vascular and orthopedic surgeons. Advanced angiological examinations and treatments should only be performed in hospitals with vascular surgery facilities.
为了回顾瑞典血管创伤的管理情况，所有外科和骨科科室被要求回顾性报告1986年至1990年间发生的血管损伤。55个科室共报告了294例损伤。大多数（约80%）损伤局限于四肢。在手臂，血管损伤大多较简单，而在腿部则更复杂，正确的治疗需要血管外科方面的丰富经验。不少于20%的损伤是医源性的，其中一半需要进行重建手术。55%的医源性损伤发生在血管检查和治疗期间。复杂的血管损伤常合并骨折和软组织损伤，需要血管外科医生和骨科医生密切合作。高级血管检查和治疗仅应在具备血管外科设施的医院进行。
