Matic A, Rubin O, Matic D
Surgeon, General Hospital Vinkovci, Croatia.
Rozhl Chir. 1996 Oct;75(10):489-91.
The difficulties in detecting vascular injuries associated with penetrating limb trauma are greater than generally appreciated. Any delay in diagnosis will compromise management and potentially may lead amputation. Traumatic arteriovenous fistulas (AV fistula) produce several profound pathophysiological and structural changes in the circulatory dynamic of the vessel associated with fistula. Most of the changes are reversible after surgery. However, in longstanding AV fistulas, irreversible degenerative changes occur in the arterial wall and result in dilation and thrombosis. This can make late closure technically difficult. This report presents a case of a femoral AV fistula persisting for three years durations.
检测与穿透性肢体创伤相关的血管损伤的难度比一般认为的要大。诊断上的任何延迟都会影响治疗，甚至可能导致截肢。创伤性动静脉瘘会在与瘘相关的血管循环动力学中产生一些深刻的病理生理和结构变化。大多数变化在手术后是可逆的。然而，在长期存在的动静脉瘘中，动脉壁会发生不可逆的退行性变化，导致扩张和血栓形成。这会使后期闭合在技术上变得困难。本报告介绍了一例持续三年的股动静脉瘘病例。
