McNeil J W, Thomas W O, Luterman A, McGee G S
Division of Plastic and Reconstructive Surgery, University of South Alabama Medical School, Mobile.
J Vasc Surg. 1993 Dec;18(6):1060-3.
Penetrating vascular trauma in children is most commonly seen in wartime settings or more recently as a result of attempts at invasive imaging. Treatment of these patients can be more complicated than treatment of trauma in adults and must include maintenance of symmetric limb growth, compensatory growth of the vascular graft and its anastomoses, and the need for very long-term graft patency. This report describes the care of a 5-year-old child who was impaled by a hot metal pipe and sustained a penetrating thermal injury to the distal external iliac artery and vein. Issues such as conduit choice, extraanatomic reconstruction, anastomotic suture technique, and soft tissue coverage are reviewed in the report.
儿童穿透性血管创伤在战时环境中最为常见，近年来也因侵入性成像检查导致此类创伤。这些患者的治疗可能比成人创伤治疗更为复杂，必须包括维持肢体对称生长、血管移植物及其吻合口的代偿性生长，以及对血管移植物长期通畅的需求。本报告描述了一名5岁儿童的治疗情况，该儿童被热金属管刺穿，导致髂外动脉和静脉远端遭受穿透性热损伤。报告中回顾了诸如导管选择、解剖外重建、吻合缝合技术和软组织覆盖等问题。
