周围动脉损伤32例诊治体会

    The diagnosis and treatment of peripheral artery injury in 32 cases

    • 摘要: 目的:探讨周围动脉损伤的诊治方法及其预后。方法:回顾性分析32例周围动脉损伤患者的临床资料,其中钝性伤22例、锐性伤7例、医源性损伤3例。治疗包括动脉侧壁修补2例、单纯结扎5例、端-端吻合1例、自体静脉移植22例、覆膜支架植入封堵2例。结果:治愈28例,治愈率87.50%;截肢4例,截肢率为12.50%;无病死病例。结论:早期诊断、有效控制出血和抗休克治疗、正确选择手术方式、快速优质血管重建、早期筋膜切开、合理处理动脉合并伤,能够降低致残率和病死率。

       

      Abstract: Objective:To study the diagnosis,treatment and prognosis of peripheral artery injury.Methods:The clinical data of 32 cases with peripheral artery injury(including blunt injury in 22 cases,penetrating injury in 7 cases and iatrogenic injury in 3 cases) were retrospectively analyzed.Two,5,1,22 and 2 cases were treated with artery wall repairing,simple ligation,end-to-end anastomosis,autologous vein graft and covered stent inplant,respectively.Results:Twenty-eight cases cured,4 cases were amputated and no case died.The cure rate,amputation rate and mortality were 87.50%,12.50% and 0.00%,respectively.Conclusions:The early diagnosing,effective controlling bleeding,anti-shock treating,correct operating,revascularizating,early cutting fascia and appropriate managing the compound wounds can decrease the mortality and morbidity.

       

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