人工血管感染处理策略  

Management of prosthetic vascular graft infection

作　　者：周为民[1] 高涌[1] 余朝文[1] 聂中林[1] 

机构地区：[1]蚌埠医学院第一附属医院血管外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2009年第9期775-777,共3页Journal of Bengbu Medical College

摘　　要：目的:总结人工血管感染的处理策略及治疗经验。方法:8例均行人工血管切除及清创术,2例另行解剖外旁路自体大隐静脉移植术,1例行异位人工血管移植。结果:3例人工血管切除后行膝上截肢术,1例3个月后改行经胸Budd-Chiari综合征下腔静脉病变根治术,其余病例感染消失,创口愈合。本组无死亡病例。结论:人工血管感染采取不同的治疗措施,可以取得较为满意的临床效果。Objective：To summary the experience in handling vascular graft infection. Methods：Eight cases of vascular graft infection were all treated by removing the grafts and debridement. Two of them were received autogenous great saphenous vein graft in the extraanatomic bypass, and one of them was performed allotopia graft replacement. Results ： Three cases had amputation above the knee after removing the grafts and one case undertook Budd-Chiari syndrome radical correction operation. The infection in other cases was controlled and the wound healed. No patients died. Conclusions：Application of variant therapeutic measures to graft infection may acquire satisfactory clinical effect.

关 键 词：血管外科手术 人工血管 感染 

分 类 号：R654.3[医药卫生—外科学] R318.11[医药卫生—临床医学]