南京医科大学学报（自然科学版）2026，Vol.46Issue(4)：615-621,7.DOI:10.7655/NYDXBNSN250565
临时血管分流术在肢体血管伤救治的应用进展
Progress in the application of temporary vascular shunt in the management of limb vascular injuries
摘要
Abstract
Lower extremity major vascular injury is a common critical emergency in clinical practice,accounting for approximately 15%-20%of all vascular injuries.The core goal of managing limb arterial injuries is rapid hemostasis and restoration of peripheral arterial blood flow.Temporary vascular shunting(TVS),as an essential component of damage control surgery(DCS),by establishing a temporary vascular shunt,distal blood supply can be effectively maintained,achieving the objective of damage control and repair.this creates favorable conditions for subsequent definitive repair.TVS plays a key role in the management of such injuries.The timing and technique of insertion and removal directly impact the final outcome of vascular repair and the patient's prognosis.Timely identification and effective management of complications are key to improving the success rate of treatment and enhancing the patient's quality of life.This article provides a comprehensive review of the history,efficacy,indications and contraindications,types and procedures,postoperative management,and future development directions of TVS technology,aiming to offer new insights for emergency care in limb vascular trauma.关键词
肢体血管损伤/临时分流/损伤控制/肢体挽救Key words
limb vascular injury/temporary shunt/damage control/limb salvage分类
医药卫生引用本文复制引用
项广源,陈金安,王爱萍..临时血管分流术在肢体血管伤救治的应用进展[J].南京医科大学学报（自然科学版）,2026,46(4):615-621,7.基金项目
军队专项基金(22DZ-002DX) （22DZ-002DX）
