四肢主干动脉损伤84例救治分析  

Treatment analysis of main artery injured limbs in 84 cases

作　　者：李士民[1] 周明武[1] 王瑞金[1] 幸超峰[1] 王飞云[1] 宋鹏[1] 宋力[1] 朱杰[1] 

机构地区：[1]解放军第153医院全军创伤骨科中心,河南郑州450042

出　　处：《临床军医杂志》2012年第5期1068-1070,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨四肢主干动脉损伤后的诊治方法及效果。方法 84例四肢主干血管损伤患者应用显微外科技术,端-端吻合59条,大隐静脉移植修复26条,血管修复缝合11条。结果治愈82例,截肢2例,并发急性肾功能衰竭2例,血管破裂二次探查修复1例。结论四肢主干血管的损伤修复越早越好。缺损超过2 cm应取大隐静脉桥接,缺血超过6 h应采用血管取栓器取栓,常规行远端肢体切开减压,预防筋膜间室综合征。提高治愈率,降低后遗症和截肢率。Objective To study the diagnosis,treatment measures and effect of main artery injured limbs.Methods 84 cases of main vascular injured limbs were treated by microsurgical technique,end-end anastomosis were performed in 59 blood vessels,great saphenous vein graft in 26,and blood vessels repair in 11.Results There were 82 cured cases,amputation in 2 cases,2 cases of concurrent acute renal failure,and reoperation in 1 case cause of vascular rupture.Conclusion The limbs with main artery injured operation the sooner the better.Great saphenous vein bridging should be taken if there is a vessel defect more than 2cm,thrombus removal should be adopted after ischemia more than 6h.Routine distal limb decompression could prevent compartment syndrome,improve the curative effect,and reduce sequelae and amputation rate.

关 键 词：肢体 主干动脉 损伤 显微修复 

分 类 号：R543.5[医药卫生—心血管疾病]