腘动脉损伤的诊断和处理要点

Key points for diagnosis and treatment of popliteal artery injury

腘动脉损伤在下肢创伤中较为常见,具有突发性和隐匿性的特点,诊断和处理有一定难度,处理不当会造成灾难性后果。外科医生应在维持生命体征稳定的前提下,重新建立患肢血供,创伤后6 h是重建血供的黄金时间。血管重建后应重视全身和局部并发症的防治。

Popliteal artery injury is common in the lower extremity trauma. For the features of sudden and occultness, the diagnosis and treatment of popliteal artery injury are sometimes difficult. A disaster would befall as an unreasonable management was decided. The surgeon should rebuild limb blood supply on the premise of maintaining stable vital signs. Six hours after trauma are the prime time to rebuild the blood supply. Surgeon should pay attention to the prevention and treatment of systemic and local complications after revascularization.