• 瀘州醫(yī)學(xué)院附屬醫(yī)院血管外科(四川瀘州646000);

目的總結(jié)下肢血管開放性損傷的臨床特點(diǎn),以提高其診斷和治療水平。方法回顧性分析我院1999~2001年收治的25例下肢血管開放性損傷患者的臨床表現(xiàn)、輔助檢查以及手術(shù)處理等特點(diǎn),討論下肢血管開放性損傷的診治。結(jié)果25例患者經(jīng)急診手術(shù)修補(bǔ)或重建血管,其中動(dòng)脈損傷18例,動(dòng)、靜脈聯(lián)合傷7例; 修復(fù)動(dòng)脈缺損時(shí)5例使用大隱靜脈,5例使用人造血管。24例痊愈(96%),1例術(shù)后40天血管閉塞并失去隨訪。結(jié)論下肢血管開放性損傷應(yīng)盡早明確診斷并行手術(shù)修補(bǔ)或重建血管,以降低死亡率及致殘率。

引用本文: 何春水,何延政,鐘武,曾宏,李華橋,曾偉. 下肢血管開放性損傷的診治(附25例報(bào)告). 中國普外基礎(chǔ)與臨床雜志, 2003, 10(3): 272-274. doi: 復(fù)制

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  1. 1. Howard CA, Thal ER, Redman HC, et al. Intraarterial digital subtraction angiography in the evaluation of peripheral vascular trauma [J]. Ann Surg, 1989; 210(1)∶108.
  2. 2. Schwartz M, Weaver F, Yellin A, et al. The utility of color flow Doppler examination in penetrating extremity arterial trauma [J]. Am Surg, 1993; 59(6)∶375.
  3. 3. Ciervo A, Dardik H, Qin F, et al. The tourniquet revisited as an adjunct to lower limb revascularization [J]. J Vasc Surg, 2000; 31(3)∶436.
  4. 4. Martin LC, McKenney MG, Sosa JL, et al. Management of lower extremity arterial trauma[J]. J Trauma, 1994; 37(4)∶591.
  5. 5. Carrillo EH, Spain DA, Wilson MA, et al. Alternatives in the management of penetrating injuries to the iliac vessels [J]. J Trauma, 1998; 44(6)∶1024.
  6. 6. Abouezzi Z, Nassoura Z, Ivatury RR, et al. A critical reappraisal of indications for fasciotomy after extremity vascular trauma [J]. Arch Surg,1998; 133(5)∶547.
  7. 7. Hofmeister EP, Shin AY. The role of prophylactic fasciotomy and medical treatment in limb ischemia and revascularization[J]. Hand Clin, 1998; 14(3)∶457.