外周动脉血管断裂四例诊治分析  

Management of peripheral artery rupture:clinical analysis of 4 cases

作　　者：张成超[1] 艾尔肯·乌马尔 张强 谷涌泉[1] Zhang Chengchao;Ai Erken·Wu Maer;Zhang Qiang;Gu Yongquan(Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of General Surgery,Hetian Regional People′s Hospital,Xinjiang Uygur Autonomous Region,Hetian 848000,China)

机构地区：[1]首都医科大学宣武医院血管外科,北京100053 [2]新疆维吾尔自治区和田地区人民医院普外科,和田848000

出　　处：《中华全科医师杂志》2020年第9期847-850,共4页Chinese Journal of General Practitioners

基　　金：国家重点研发计划项目(2017YFC1104100)。

摘　　要：回顾分析2012年3月至2017年10月和田地区人民医院诊治的4例不同原因外周血管断裂患者的临床资料。4例均为男性,年龄17~59岁,2例火器伤、1例撞击伤和1例锐器伤;2例为股动脉不完全断裂,1例为腘动脉完全断裂,1例为腋动脉完全断裂。4例伤后均由急救车工作人员做加压包扎后送至急诊,伤后至急诊时间30 min至2 h,均紧急行血管修复外科手术,术后患肢皮温、皮色、动脉搏动均恢复正常。术后随访28~95个月(平均47.8个月),重建血管血流均通畅,无并发症出现。提示外周血管断裂患者需及时诊断并实施手术,治疗效果较好。The clinical data of 4 patients with peripheral vascular rupture admitted in the Hetian Regional People′s Hospital from March 2012 to October 2017 were retrospectively analyzed.The 4 patients were all males,aged 17-59 years.Among them,2 cases caused by firearm injury,1 case was caused by a car accident and 1 case was caused by a sharp injury;2 cases were incompletely ruptured in femoral artery,1 case was completely ruptured in popliteal artery,and 1 case was completely ruptured in axillary artery.All patients underwent successful reconstructive surgical procedures,and the skin temperature,skin color,and arterial pulse of the affected limb returned to normal after operation.The followed-up time was 28-95 months,with an average of 47.8 months.Blood flow in the reconstructed vessel was unobstructed.There were no complications.It is indicates that for peripheral vascular rupture if the diagnose and treatment are timely,the satisfactory results can be achieved.

关 键 词：腘动脉 股动脉 腋动脉 血管断裂 修复外科手术 

分 类 号：R543.5[医药卫生—心血管疾病]