[Experience in comprehensive treatment of vascular rupture of limbs and traumatic coagulopathy caused by blunt injury].

Abstract

Vascular injury caused by trauma is not uncommon in clinic, which may lead to traumatic coagulopathy, ischemic necrosis of limbs, amputation or death due to hemorrhagic shock, which is obviously related to adverse outcomes. A 53-year-old male patient with severe impact injury in our department was retrospectively analyzed. Crushing injury resulted in femoral artery disconnection of lower limbs, which led to ischemia and traumatic coagulopathy of lower limbs. A blood transfusion device was used to make a shunt for emergency temporary vascular bypass, during which he experienced coagulation disorder, rhabdomyolysis, osteofascial compartment syndrome and wound infection. By supplementing coagulation substrate, correcting coagulation function, strengthening anti-infection, reducing muscle tension through incision and multiple debridement operations, the diagnosis and treatment process of one limb was preserved. For traumatic vascular injuries, especially blunt injuries, early detection, early intervention and early treatment, and timely adjustment of surgical strategies can avoid limb ischemia and necrosis and reduce adverse outcomes.