创伤是导致死亡的主要原因,永久性残疾,和全世界的医疗保健费用。年轻人和从事经济活动的人是受影响最大的人口。不可压缩躯干出血导致的放血是早期死亡的最常见原因之一,对创伤和血管外科医生构成重大挑战。还必须考虑由于血管损伤引起的肢体丧失的可能性。近几十年来,血管损伤的方法已得到重大修改。血管造影已成为诊断的标准方法,血管内技术目前被纳入治疗,和损害控制,比如临时分流,现在是维持生理紊乱的患者的首选方法。尽管这个话题很重要,巴西文献中很少有论文提供关于血管创伤的指南。巴西血管和血管外科学会开发了ProjetosDiretizes(指导项目),其中包括这篇关于血管创伤的出版物。因为治疗创伤患者是一个多学科的努力,巴西创伤协会(SBAIT)应邀参加了这个项目。两个协会的成员回顾了血管创伤管理的文献,并共同撰写了这些关于颈部血管损伤的指南,胸部,腹部,和四肢。
Trauma is a leading cause of death, permanent disability, and health care cost worldwide. The young and economically active are the most affected population. Exsanguination due to noncompressible torso hemorrhage is one of the most frequent causes of early death, posing a significant challenge to trauma and vascular surgeons. The possibility of limb loss due to vascular injuries must also be considered. In recent decades, the approach to vascular injuries has been significantly modified. Angiotomography has become the standard method for diagnosis, endovascular techniques are currently incorporated in treatment, and damage control, such as temporary shunts, is now the preferred approach for the patients sustaining physiological derangement. Despite the importance of this topic, few papers in the Brazilian literature have offered
guidelines on vascular trauma. The Brazilian Society of Angiology and Vascular Surgery has developed Projetos Diretrizes (
Guideline Projects), which includes this publication on vascular trauma. Since treating trauma patients is a multidisciplinary effort, the Brazilian Trauma Society (SBAIT) was invited to participate in this project. Members of both societies reviewed the literature on vascular trauma management and together wrote these
guidelines on vascular injuries of neck, thorax, abdomen, and extremities.