四肢主要血管损伤48例的外科治疗

目的:对48例四肢主要血管损伤的病例进行回顾性分析,以总结经验,提高血管损伤诊治水平。方法:全组手术清创和探查后,针对不同情况选择血管修复方法。结果:血管吻合36例(75%),大隐静脉移植2例(4.1%),血管修补2例(4.1%),血管结扎3例(6.3%),死亡1例(2.1%),截肢1例(2.1%),未行探查3例(6.3%)。结论:四肢主要血管损伤后快速止血、抗休克等挽救生命的处理是首要原则,其次才是尽快修复血管恢复肢体的功能,术后"三抗"是保证血管修复成功的不可缺少的重要措施。

Objective：To sum up experience and improve the level of diagnosis - making on the injured blood vessels. 48 cases with the main injured blood vessels of the four limbs were reviewed and analysed. Methods： In vascular surgical procedures, after wounds were examined and bathed, in view of different situations, different ways of recovering blood vessels were selected. Resuhs：36 cases were indential,the rate was 75%, vein transplanting were used in 2 cases （4. 1% ）, blood vessels were repaired in 2 cases （4. 1% ）and tied up in another 3 cases（6. 3% ） ,one（2. 1% ） died,one（2. 1% ） was amputated, three （ 6. 3% ） were not- looked into. Conclusions： After the main blood vessels of the four limbs are injured, the most important task is to take measures to save lives, such as stopping bleeding and resisting shock. The following step is to restore blood vessels as soon as possible and recover the functions of the limbs. After vascular surgical procedures, ＂ three resistances＂ are indispensable and important measures to restore the injured blood vessels successfully.