四肢主干血管急性损伤的外科处理  

Surgical management for major vascular emergency injury of limbs

作　　者：黄林生[1] 许哲仪[1] 肖大伟[1] 

机构地区：[1]汕头大学医学院第一附属医院胸心外科,广东汕头515041

出　　处：《岭南现代临床外科》2002年第1期32-33,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的 探讨四肢主干血管急性损伤的外科治疗方法。方法 回顾性分析我院收治四肢主干血管急性损伤患者100例。共行手术106次,其中行血管移植58条(人造血管移植40条,大隐静脉移植18条),血管断端直接吻合44条,血管裂口修复28条,单纯动脉结扎2条。结果 治愈94例,无血栓形成及肢体缺血。1例大隐静脉移植术后移植段静脉血栓形成,1例切口感染,3例下肢因挤压伤致大面积肌肉坏死,均治愈,另1例右小腿远端缺血截肢。结论 正确的现场处理、精细的血管外科技术、血管移植材料的合理选择是提高治疗效果的关键。Objective To study the methods of surgical management for major vascular emergency injuries of limbs. Methods From August 1989 to March 2001, the management of 100 in-patients with major vascular emergency injuries of limbs were analyzed retrospectively. 106 operation had been performed among vascular transplantation in 48 cases, end to end anastomosis directly in 44 cases, cleft repair in 28 cases and simple arterial ligation in 2 cases. Results 94 cases were cured. No thrombosis or limbs ischemia were found, one case of vein thrombosis was found in the trans-plantated segment after great saphenous vein transplantation. Incision infection in one case, lower limb muscle due to crush injury in three cases. Except for one case amputaion was performed because of right leg distal part ischemicnecrosis, but all of them were cured. Conclusion Correct management on the spot, refined vascular surgical technic and choosing a fit vascular material are very impotant to improve the therapeutic effects.

关 键 词：四肢主干血管 损伤 治疗 

分 类 号：R658[医药卫生—外科学]