四肢主干动脉损伤诊治体会  

Diagnosis and treatment of major arterial injury in limbs

作　　者：裴根仓 倪良宏[1] 郭劲松[1] 唐军建[1] 王长春[1] 

机构地区：[1]淮北矿工总医院血管外科,安徽淮北235000

出　　处：《蚌埠医学院学报》2008年第5期563-564,共2页Journal of Bengbu Medical College

摘　　要：目的：探讨四肢主干动脉损伤的诊断和治疗方法。方法：对23例四肢主干动脉损伤患者分别采用直接动脉修补、动脉结扎、端端吻合、自体大隐静脉移植、人工血管移植、术中取栓及合并静脉损伤修复等。结果：截肢3例,获得随访12例,随访时间3个月~5年,11例多普勒超声证实损伤血管血流通畅,下肢血供不足1例,下肢肌肉挛缩1例。结论：早期正确诊断和提高对血管损伤的认识是提高肢体救治存活和避免并发症发生的关键。手术方式的合理选择、Fogarty导管常规取栓和早期筋膜切开可以提高治愈率。Objective：To discuss the experience in diagnosis and treatment of the major arterial injury in limbs. Methods：The clinical data of 23 patients with the major arterial injury in limbs between January 1996 and July 2006 were retrospectively analyzed. The injured arteries were repaired by arterioplasty, ligation, end-to-end anastomosis, great saphenous vein graft, artificial blood vessel graft, embolectomy with Fogarty catheter. Results：Three patients were amputated in limbs. Twelve patients were followed up from 3 months to 5 years. One patient suffered from low extremity isehemia. One patient had ischemic muscular atrophy in low extremity. Conclusions： Early diagnosis and improvement of recognition of arterial injury are the key to increase the survival of the limbs and avoid the occurrence of false aneurysm. The method of operation, embolectomy with Fogarty catheter and early fasciectomy can increase salvage.

关 键 词：创伤和损伤 血管外科手术 取栓术 

分 类 号：R641[医药卫生—外科学] R654.4[医药卫生—临床医学]