Whitehouse W M, Coran A G, Stanley J C, Kuhns L R, Weintraub W H, Fry W J
Arch Surg. 1976 Nov;111(11):1269-75. doi: 10.1001/archsurg.1976.01360290103016.
Twenty pediatric patients with a mean age of 9.2 years exhibited 21 injuries to arteries of an extremity and underwent operation. Included were 12 iatrogenic injuries and nine non-iatrogenic penetrating injuries. Femoral, brachial, popliteal, radial, axillary, iliac, and tibial arteries were sites of vascular trauma. Long-term follow-up, averaging 36 months, was possible in 14 patients. Postoperative scanograms, digital impedance plethysmographic studies, and bone age roentgenograms were routinely obtained. Limb length disparities greater than 5 mm, extremity blood pressure differentials greater than 10 mm Hg, and bone age retardation were encountered. Proper treatment of pediatric patients with acute arterial injuries of an extremity requires early operative intervention and continuous postoperative follow-up during years of active growth. If chronic arterial insufficiency ensues, arteriographic studies should be obtained and arterial reconstruction undertaken.
20名平均年龄为9.2岁的儿科患者出现了21处肢体动脉损伤并接受了手术。其中包括12例医源性损伤和9例非医源性穿透伤。股动脉、肱动脉、腘动脉、桡动脉、腋动脉、髂动脉和胫动脉是血管创伤的部位。14名患者进行了平均为期36个月的长期随访。常规进行术后扫描图、数字阻抗体积描记研究和骨龄X线片检查。发现肢体长度差异大于5mm、肢体血压差大于10mmHg以及骨龄延迟。对患有急性肢体动脉损伤的儿科患者进行适当治疗需要早期手术干预以及在活跃生长的数年中进行持续的术后随访。如果随后出现慢性动脉供血不足，应进行动脉造影研究并进行动脉重建。
