Gersak B, Smrkolj V, Gabrijelcic T
Abteilung für Kardiovaskuläre Chirurgie, Laibach (Ljubljana), Slowenien.
Unfallchirurg. 1997 Jul;100(7):591-3. doi: 10.1007/s001130050162.
We report the case of a 33-year-old man after knee luxation and disruption of a popliteal artery, which was missed after repositioning at the first clinic. Eighteen hours later complete discontinuity of the popliteal artery was confirmed by arteriography and an immediate reversed, end-to-end auto-venous graft was interposed under general anesthesia with anterior and posterior fasciotomy prior to blood flow restoration. Forced diuresis with a diuretic mixture and balanced fluid intake were used, and the patient was discharged from the intensive care unit on the 10th postoperative day in good condition with normal diuresis.
我们报告了一例33岁男性患者，其膝关节脱位并伴有腘动脉断裂，在首诊复位时未被发现。18小时后，动脉造影证实腘动脉完全中断，遂在全身麻醉下立即进行了端端自体静脉反转移植，并在恢复血流前进行了前后筋膜切开术。使用利尿剂混合物进行强制利尿并保持液体摄入平衡，患者术后第10天从重症监护病房出院，情况良好，尿量正常。
