【摘要】 本组33例中包括血管开放性损伤23例(血管离断13例、血管裂伤8例、搏动性血肿2例)。血管闭合损伤10例(内膜挫伤血栓形成4例、内膜撕裂5例、外扭曲或压迫1例)。开放性血管损伤虽易于诊断,但应警惕血管损伤部位为血栓堵塞暂无出血的情况,本组一例因此而死亡。本组8例急诊造影、7例阳性。表现均为血管中断而未见一例对比剂外溢者。1例造影阴性者手术证明有6.5厘米长的髂外静脉撕裂伤。另外,文中还讨论了疗效与损伤因素,是否合併骨折等的关系。更多还原

【Abstract】 In our series, totally, there are 33 cases, including 23 open injuries (13 with vascular transections, 8—lacerations, 2—pulsatile haematomas) and 10 closed ones (transmural contusion with thrombosis—4,intimal tear—5, external distortion or compression—l).In spite of the easy diagnosis for open injuries, an attention must be paid to its locations as the leison may remain temporarily absent of bleeding due to thrombus occlussions, for example,one death in this group has occurred under such conditions.The acute angiography may be taken mainly for those with highly suspicious.As to 8 patients of this group 7 of them lead to positive angiographic findings with operative manifestations of arterial transecion, but no outflow of contrast medium has been shown.One of our patients with negative result proved to be lacerated in external eliac veins in 6.5 cm.In this paper a comment about the treatment between various factors of injuries and bone fractures has also been given.更多还原