PDF(Pubmed)
Abstract：
Non-iatrogenic trauma of the iliac artery is rarely reported but is always life-threatening. In this report, we describe the case of a child with complete transection and partial disappearance of the iliac artery caused by bicycle handlebar impalement. He experienced catastrophic hemorrhage, malignant arrhythmia, and difficulty in exploring transected vessel stumps. Aggressive infusion, blood transfusion in time, and pediatric vascular characteristics help delay the deterioration during anesthesia induction. Eventually he was successfully rescued by performing interventional balloon occlusion and open revascularization after more than 7 h post-trauma. A series of interventions and precautionary methods may benefit such severely injured patients; thus, these methods should be highlighted.
摘要：
很少报道非医源性髂动脉创伤，但总是危及生命。在这份报告中,我们描述了一个由自行车车把穿刺引起的完全横切和部分消失的儿童的情况。他经历了灾难性的出血，恶性心律失常,探索横断的血管树桩的困难。积极的输液，及时输血,和儿科血管特征有助于延缓麻醉诱导期间的恶化。最终，在创伤后超过7小时后，他通过进行介入性球囊闭塞和开放性血运重建成功获救。一系列干预措施和预防方法可能会使这些严重受伤的患者受益；因此，应该强调这些方法。
