Bettili G, Bianchi S, Camoglio F S, Piovesan P, Adami C A
Departimento di Scienze Chirurgiche, Università degli Studi, Verona.
Minerva Cardioangiol. 1996 Apr;44(4):155-60.
The authors report their experience about 35 peripheric vascular injuries in childhood and adolescence. They analyze the epidemiological and clinical data and underline the usefulness of careful clinical and instrumental diagnosis. In order to obtain the best result they stress the importance of early revascularization by suturing in short lesions and by autologous tissue in longer lesions. Furthermore, they stress the importance of repairing venous injuries. Bone fractures have to be stabilized before vascular repair, subject to this not requiring prolonged ischemia. The authors conclude that only a multidisciplinary approach can ensure better results.
作者报告了他们在儿童和青少年期35例周围血管损伤方面的经验。他们分析了流行病学和临床数据,并强调了仔细的临床和器械诊断的有用性。为了获得最佳结果,他们强调对于短损伤通过缝合、长损伤通过自体组织进行早期血管重建的重要性。此外,他们强调修复静脉损伤的重要性。在进行血管修复之前必须稳定骨折,但前提是这不需要长时间的缺血。作者得出结论,只有多学科方法才能确保更好的结果。