医源性血管损伤的原因与防治探讨  

The causes, prevention and treatment of iatrogenic vascular injury

作　　者：刘丹峰[1] 汪为林 何国璋 陶忠[1] 

机构地区：[1]安徽省芜湖市第二人民医院普外科,241000 [2]安徽省皖南医学院附属弋矶山医院普外科

出　　处：《腹部外科》2001年第2期98-99,共2页Journal of Abdominal Surgery

摘　　要：目的　探讨医源性血管损伤的原因及其防治方法。方法　回顾性分析 11例医源性血管损伤的临床资料。结果　 7例行血管修补术获得成功 ;3例分别采用纱布填塞、结扎止血、或脏器切除等处理 ,无并发症发生 ;1例死于术中大出血。结论　医源性血管损伤有人为因素 ,也有客观原因。提高医生的警觉性及手术技巧 ,规范手术操作 ,术中解剖清晰 ,不盲目钳夹 。Objective To explore the causes, prevention and treatment of iatrogenic vascular injury.Methods The clinical data of 11 cases of iatrogenic were retrospectively analyzed.Results Among the 11 cases of vascular injury, 7 cases underwent angiorrhaphy successfully and the remaining 3 cases were treated by bandage filling, hemostasis and organtomy, etc. One cases died of hemorrhage during operation.Conclusion Iatrogenic vascular injury is related to the medical treatment and the patients′ surgical skills. Improving the surgical skills, standardizing surgical procedures, clear operation anatomy and careful clamping are the keys to prevent the iatrogenic vascular injury.

关 键 词：医源性血管损伤 手术修复 防治 

分 类 号：R619.5[医药卫生—外科学] R654.3[医药卫生—临床医学]