腹部大血管损伤并不常见却极端致命。外伤的主要机制包括贯穿伤、钝挫伤、或医源性损伤。抢救成功的关键在于救治者对腹部血管解剖知识的透彻了解以及对血管控制技术和各种血管修复技术，如损伤血管修补，旁路转流和血管结扎等方法的合理使用。

Management of abdominal vascular injury ZHOU Zhao-xiong , ZHANG Ji-wei. Department of Vascular Surgery, Shanghai Jiaotong University School of Medicine, Shanghai 200001, China Corresponding author: ZHANG Ji-wei, E-mail: zhangjiwei001@sina.com.cn Abstract Injuries to major abdominal vessels are uncommon but highly lethal vascular crises. Abdominal vascular trauma results from penetrating, blunt, or iatrogenic injuries. Essential to the successful management of the injuries is a thorough knowledge of the complex anatomy of abdominal vascular structures and a familiarity with the techniques of proximal and distal control combined with selected application of primary repair, bypass, and/or ligation. The presentation reviews the etiology, diagnosis and treatment of major abdominal vascular injuries.