周围动脉损伤32例诊治体会  

The diagnosis and treatment of peripheral artery injury in 32 cases

作　　者：李杰[1] 高涌[1] 

机构地区：[1]蚌埠医学院第一附属医院血管外科,233004

出　　处：《蚌埠医学院学报》2014年第6期768-770,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨周围动脉损伤的诊治方法及其预后。方法:回顾性分析32例周围动脉损伤患者的临床资料,其中钝性伤22例、锐性伤7例、医源性损伤3例。治疗包括动脉侧壁修补2例、单纯结扎5例、端-端吻合1例、自体静脉移植22例、覆膜支架植入封堵2例。结果:治愈28例,治愈率87.50%;截肢4例,截肢率为12.50%;无病死病例。结论:早期诊断、有效控制出血和抗休克治疗、正确选择手术方式、快速优质血管重建、早期筋膜切开、合理处理动脉合并伤,能够降低致残率和病死率。Objective：To study the diagnosis,treatment and prognosis of peripheral artery injury. Methods：The clinical data of 32 cases with peripheral artery injury（ including blunt injury in 22 cases,penetrating injury in 7 cases and iatrogenic injury in 3 cases） were retrospectively analyzed. Two,5,1,22 and 2 cases were treated with artery wall repairing,simple ligation,end-to-end anastomosis, autologous vein graft and covered stent inplant,respectively. Results：Twenty-eight cases cured,4 cases were amputated and no case died. The cure rate, amputation rate and mortality were 87. 50%, 12. 50% and 0. 00%, respectively. Conclusions：The early diagnosing,effective controlling bleeding, anti-shock treating, correct operating, revascularizating, early cutting fascia and appropriate managing the compound wounds can decrease the mortality and morbidity.

关 键 词：血管外科手术 周围动脉 损伤 

分 类 号：R654.4[医药卫生—外科学]