1. Symptoms of combined organ or nerve tissue injury
When vascular injury is combined with other organs (such as lung, liver, brain, kidney, etc.) or nerve tissue injury, the symptoms that appear are diverse. It should be noted that the sensory disorders caused by injury to the nerves of the limbs and ischemia are different, the former is distributed according to the area innervated by the nerves, while the latter nerve numbness sensory range is distributed in a garter type. 2. Simple acute vascular injury is not difficult to diagnose based on the clinical manifestations of the injury-causing violence, injury site, acute bleeding from the wound and ischemic changes in the distal limb, loss of distal arterial pulsation or swelling and cyanosis of the limb. However, when there is a combined injury or blunt injury causing intimal contusion of the artery and the symptoms of limb ischemia are not obvious, the diagnosis is sometimes overshadowed by the symptoms of the combined injury and vascular exploration is not performed in time. 3. In the management of complex injuries
To be alert to the possibility of the existence of vascular injury and familiar with the clinical characteristics of vascular injury, generally in the presence of the following conditions, vascular injury should be suspected and vascular exploration should be done: ① jet or pulsatile bleeding and repeated bleeding; ② huge
or progressively increasing hematoma, such as pulsatile hematoma; ③ unexplained shock; ④ blunt injury with distal blood supply disorders, suspected of intimal contusion secondary to thrombosis; ⑤ along the vascular path and its adjacent parts of the fracture and
Large joint injuries with distal blood supply disorders. In summary, you must have a better understanding of the origin of the injury, and also the specific threat of the injury will be caused by how big in mind, so you must cooperate with the doctor when the problem comes, early detection of the problem, treatment of disease, and