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Artere

Artere

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Published by crix86

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Published by: crix86 on Apr 10, 2008
Copyright:Attribution Non-commercial

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01/15/2013

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Artere
1.Traumatisme2.Fistule arteriovenoase3.Anevrisme4.Ischemia acuta5.Ischemia cronica
 
1. Traumatisme
1.1. Contuziile arteriale
traumatismul peretilor arteriali fara solutie de continuitatetotala
mecanisme de producere:
- strivirea arterelor pe planuri dure osoase- compresia arterelor de catre oase fracturate sau luxate
leziunea
- lezarea adventicei determina spasm arterial- lezarea endoteliului poate determina aparitia trombozei
efectele
- ischemie acuta tranzitorie (durere, paloare tegumentara, hipotermie, absenta pulsului)- ischemie acuta ireversibila atunci cand se produce tromboza arteriala ( gangrena)
tratament
- medicatie vasodilatatorie injectata periarteral (novocaina)- simpatectomie 
 
1. Traumatisme
1.2. Plagile arteriale
sunt solutii de continuitate totale sau partiale ale peretelui arterial
mecanisme
- accidente rutiere- agresiuni prin arme albe si de foc- accidente intaoperatorii
leziunea
- plaga art. + tegumente indemne=hematom pulsatilhematom mare devin compresive accentueaza ischemiahematoamele mici se pot endoteliza in timp producand anevrisme- plaga art. + plaga tegumentara = hemoragie externa- sectiunea incompleta este mai hemoragica-plaga ramane beanta- sectiunea totala mai putin hemoragica –capetele se retrag si se spasmeazafavorizant trombul- hemoragie- soc hemoragic-exitus- plaga art. + plaga venoasa se poate forma o fistula arteriovenoasa

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