Gefäßverletzungen an den Extremitäten

Gefäßverletzungen an den Extremitäten Arterial injuries in the extremities still carry a significant amputation risk. Early identifica- tion using adequate diagnostic procedures and continuing refinements in vascular repair have reduced limb loss to less than 10–15%. Especially important is the routine diagnostic evaluation by Doppler pressure Abb. 1  Schweregrad und and duplex imaging in the emergency room, Symptomatologie der scharfen as well as attention to the proven principles Arterienverletzungen. of vascular repair. Endovascular techniques (Nach Vollmar [11]) are of particular significance in areas where vascular surgery is difficult and as a bridging procedure in life-threatening traumas. Ischämie des versorgten Gewebes führen Diagnostik und die leider nicht so selten in der Erst- und Pathophysiologie Keywords versorgung nicht oder zu spät erkannt Sowohl durch direkte als auch durch in- werden. Der wichtigste Schritt in der Arterial trauma · Extremities · Vascular repair · direkte Verletzungen bedingte Blutun- Diagnostik besteht darin überhaupt an Endovascular techniques gen aus beschädigten Gefäßen lassen die Möglichkeit einer Gefäßverletzung sich an den Extremitäten unschwer er- zu denken. Dabei sind die klinischen kennen. Dies trifft v. a. auf penetrieren- Symptome einer kompletten Ischämie de direkte Verletzungen oder auf offene klassisch: Pulslosigkeit, Blässe, Schmerz, Frakturen mit Begleitverletzungen der Sensibilitätsstörung, Lähmung, Unruhe Gefäße Gefässchirurgie Springer Journals

Gefäßverletzungen an den Extremitäten

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Copyright © 2002 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Vascular Surgery
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