MISSED ARTERIOVENOUS-FISTULAS AND FALSE ANEURYSMS IN PENETRATING LOWER-LIMB TRAUMA - RELEARNING OLD LESSONS

被引：13

作者：

GRAHAM, ANJ ^{[1
]}

DSA, AABB ^{[1
]}

机构：

[1] ROYAL VICTORIA HOSP,VASC SURG UNIT,GROSVENOR RD,BELFAST BT12 6BJ,NORTH IRELAND

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1991年 / 22卷 / 03期

关键词：

D O I：

10.1016/0020-1383(91)90035-D

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The difficulties in detecting vascular injuries associated with penetrating limb trauma are greater than generally appreciated, and any delay in diagnosis will compromise management and potentially may lead to amputation. Established lessons regarding the mode of presentation and early management of these injuries have to be relearned and are illustrated by three recent case reports of clinically unrecognized lower limb vascular injuries later discovered to be arteriovenous fistulas and false aneurysms. The diagnosis of these lesions may depend on the identification of subtle clinical signs followed by early preoperative angiography, the potential value of which is entirely dependent on the surgeon's acumen and level of awareness.

引用

页码：179 / 182

页数：4

共 22 条

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