急性血管损伤132例的治疗分析

The treatment of acute vascular injury: report of 132 cases

目的探讨急性血管损伤的治疗方法。方法回顾 132例血管损伤患者的临床资料 ,并对其进行统计分析。结果本组病例血管损伤引起的死亡率为 6 8% ,截肢率为 8 3% ;手术后的通畅率达 91 9%。结论手术探查是诊治急性血管损伤的主要手段 ;采取灵活多样的方式处理血管损伤是确保通畅 ,降低病死率 。

ObjectiveTo review the treatment of 132 patients with vascular injuries admitted to our hospital from Jun,1985 to May,2001.Methods Clinical data were analyzed according to the cause, site, type, and surgical modality of vascular injuries. ResultsThe mortality rate in this group was 6.8%, amputation rate 8.3%, and patency rate of primary surgical treatment was 91.9%.ConclusionsSurgical exploration is the mainstay of diagnostic approaches for acute vascular injury; flexible measures should be taken to ensure high patent rate of the injuried blood vessel,lower mortality and high salvage of limbs.