腹部大血管损伤88例救治体会

Salvage treatment for eighty-eight cases of abdominal large vascular injuries

目的总结腹部大血管损伤的救治经验,提高救治水平。方法回顾性分析88例腹部大血管损伤患者的临床资料及手术方法,88例患者分别采取单纯修补、人工血管移植等手术治疗。结果本组患者88例,存活63例,死亡25例,抢救成功率71.6%,病死率28.4%,主要死亡原因是失血性休克。结论对于腹部大血管损伤患者,判断伤情,有效复苏,控制休克,紧急剖腹止血是抢救成功的关键。术中应注意全面探查,视伤情尽量采用简单而合理的术式。

Objective To summarize the experience of salvage treatment of abdominal large vascular injuries, trying to improve the management. Methods Retrospective analysis was made on the clinical data and the operation way of abdominal large vascular injuries with the main operative methods including primary repair of abdominal aorta and synthetic prosthesis interposition. Results Of the eighty-eight patients, sixty-three survived, twenty-five died. The successful rate of emergency treatment was 71.6% and death rate 28.4%. The main reason of death was hemorrhagic shock. Conclusions Evaluating the eonditon of patients, effective resuscitation, controlling shock and emergency laparohemostasis are the key to success- ful emergency treatment for abdominal large vascular injuries. Comprehensive exploration, simple and effective repair could save patients life.