四肢主要血管损伤的治疗分析

Therapeutical Analysis for Damages of Main Blood Vessel in the Four Limbs

本文报告12年治疗的37例四肢主要血管损伤的处理体会。36例按损伤情况分别采用端—端吻合、大隐静脉移植等方法重建血循,成功率97.2％,总截肢率5.4％。挽救肢体的预后主要取决于肢体缺血时间,神经、软组织、骨酪损伤程度及其它脏器损伤情况等因素。作者强调早期诊断和及时处理的重要性,并就诊断中的经验和教训作了总结。

This paper reported the therapeutical experience for damages of main blood vessels in the four limbs a-mong twelve years. Thirty six reformed blood circulation by used acral to acral anastomosis and transplant great saphenous vein respectively successful rate 97. 2% ,amputation' s rate 5.4%. The result of retaining limbs depended on blood deficiency time and degree of damage of nerve, soft tissue, bone and other organ. The author stressed the importance of early diagnose and treatment timely and summed up experience, moral in diagnose.