四肢血管火器伤诊治进展  

Progress in the diagnosis and treatment of extremity vascular firearm injury

作　　者：李越 杨光明 赵永博 李兵仓 Li Yue;Yang Guangming;Zhao Yongbo;Li Bingcang(Neurosurgery Department of 986th Hospital of Air Force,Xi′an 710054,China;Research Institute of Field Surgery,Army Medical Center,Chongqing 400042,China)

机构地区：[1]空军第九八六医院神经外科,西安710054 [2]陆军特色医学中心野战外科研究部,重庆400042

出　　处：《中华创伤杂志》2024年第6期551-557,共7页Chinese Journal of Trauma

基　　金：国防科技创新特区课题(19-163-15-ZD-009-001-14)。

摘　　要：四肢血管火器伤(EVFI)战时批量发生,平时分散出现,可导致急性失血性休克和筋膜间隔综合征,严重危及患者生命。四肢血管火器伤与血管创伤相比,不仅容易伤及动脉,且损伤重,预后差。目前国内虽有EVFI临床诊治的相关报道,但多为对越自卫反击战中的救治经验,缺乏其后的技术和数据,也无战时阶梯救治方案。因此,笔者结合阿富汗和伊拉克战争以来的文献,就EVFI的流行病学特点、诊断及治疗方面进行探讨,旨在为我国EVFI的诊治提供参考。Extremity vascular firearm injury(EVFI)which occurs in large quantities during wartime and is dispersed in peacetime,can result in acute hemorrhagic shock and compartment syndrome,thus seriously endangering the patients′life.Compared with vascular trauma,vascular firearm injury not only damages the arteries easily,but also has a more severe damage and a poor prognosis.At present,most of relevant reports on the clinical diagnosis and treatment of EVFI in China are based on the treatment experience in Vietnam′s self-defense counterattack and lack subsequent technology,data and wartime echelon treatment.To this end,the authors discussed the epidemiological characteristics,diagnosis and treatment of EVFI by integrating the literature published since the Afghanistan and Iraq War,aiming to provide reference for the diagnosis and treatment of EVFI in China.

关 键 词：损伤 血管 四肢 诊断 综合疗法 火器伤 

分 类 号：R826.61[医药卫生—临床医学]