摘要
目的 探讨四肢主干动脉损伤诊断、手术方法及并发症处理。方法 回顾性分析新疆维吾尔自治区人民医院血管外科2004年1月-2013年10月手术治疗的106例共110条四肢主干动脉损伤患者的病例情况,分别行动脉端端吻合33例,自体静脉移植53例,动脉裂口缝合13例;假性动脉瘤切除5例,结扎术6例。结果 110条动脉重建血运,患者无1例死亡,9例行截肢术。结论 早期诊断,有效控制出血和抗休克治疗,早期重建血流、防治并发症是降低截肢率和病死率的有效方法。
Objective To evaluate our experiences with patients who had arterial injuries in extremities in this study.Methods A retrospective analysis was carried out in which 106 patients with arterial injuries in extremities from Jan 2004 to Oct 2013.The management was according to the type of arterial injuries in extremities.Results There was no one dead in this study,but 9 cases received amputation.Conclusions Results from vascular repairs are encouraging.Limb loss may be decreased by vascular repairs.The availability of experiences vascular surgical teams and effective emergency care are vital for decreasing the amputation rate and mortality due to arterial injuries in extremities.
出处
《国际外科学杂志》
2014年第4期265-267,共3页
International Journal of Surgery
关键词
动脉损伤
血管修复
四肢
Arterial injuries
Vascular repairs
Extremity.
