四肢骨折合并血管神经损伤的急诊处理

Emergency treatment of limb fracture combined with vascular nerve injury

目的：分析四肢骨折合并血管神经损伤的急诊处理效果。方法：收治四肢骨折合并神经血管损伤患者52例，根据损伤的特点选择合适的处理方法。结果：52例患者无漏诊、漏治，伤口愈合良好；经过5个月～2年的随访，6例伴有神经损伤，4例肢体功能恢复正常，2例肌萎缩，4例肢体坏死性截肢。结论：四肢骨折合并神经关节损伤患者应及时诊断与正确处理，可提高手术治愈率、减少术后并发症发生。

Objective:To analyze the effect of emergency treatment of limb fracture combined with vascular nerve injury.Methods:52 patients with limb fracture combined with vascular nerve injury were selected.According to the characteristics of the injury,the appropriate treatment method was selected.Results:52 patients had no missed diagnosis,missed treatment,and the wound healing was well.After 5 months to 2 years of follow-up,6 cases had nerve injury;the limb functions of 4 cases recovered normal;2 cases had muscle atrophy;4 cases had limb necrosis amputation.Conclusion:The patients with limb fracture combined with vascular nerve injury should be given timely diagnosis and correct treatment.It can improve the operation cure rate,reduce the postoperative complications.