Tackett A D, Sale W G
Am Surg. 1977 Aug;43(8):488-96.
The treatment of vascular trauma is a challenging and increasingly successful endeavor. Improvement in patency rates and limb salvage have occurred through advances in diagnostic methods, materials for vessel replacement and techniques of repair. Several principals have evolved. An aggressive diagnostic approach is indicated with early arteriography in all suspicious injuries. Distal blood flow should be established as soon as possible. Associated venous injuries should be repaired if possible. Unstable orthopedic injuries shoud be stabilized conservatively with minimal internal wire fixation of fragments and the use of traction. Fasciotomy should be used in treatment of any injury involving prolonged ischemia of distal tissues.
血管创伤的治疗是一项具有挑战性且日益成功的工作。通过诊断方法、血管置换材料和修复技术的进步，血管通畅率和肢体挽救率都有所提高。已经形成了几个原则。对于所有可疑损伤，应采取积极的诊断方法，早期进行动脉造影。应尽快建立远端血流。如有可能，应修复相关的静脉损伤。不稳定的骨科损伤应采用保守方法进行固定，尽量减少碎片的内固定钢丝使用并采用牵引。筋膜切开术应用于治疗任何涉及远端组织长时间缺血的损伤。
