蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
6期
768-770
,共3页
血管外科手术%周围动脉%损伤
血管外科手術%週圍動脈%損傷
혈관외과수술%주위동맥%손상
vascular operation%peripheral artery%injury
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。
目的：探討週圍動脈損傷的診治方法及其預後。方法：迴顧性分析32例週圍動脈損傷患者的臨床資料，其中鈍性傷22例、銳性傷7例、醫源性損傷3例。治療包括動脈側壁脩補2例、單純結扎5例、耑-耑吻閤1例、自體靜脈移植22例、覆膜支架植入封堵2例。結果：治愈28例，治愈率87.50%；截肢4例，截肢率為12.50%；無病死病例。結論：早期診斷、有效控製齣血和抗休剋治療、正確選擇手術方式、快速優質血管重建、早期觔膜切開、閤理處理動脈閤併傷，能夠降低緻殘率和病死率。
목적：탐토주위동맥손상적진치방법급기예후。방법：회고성분석32례주위동맥손상환자적림상자료，기중둔성상22례、예성상7례、의원성손상3례。치료포괄동맥측벽수보2례、단순결찰5례、단-단문합1례、자체정맥이식22례、복막지가식입봉도2례。결과：치유28례，치유솔87.50%；절지4례，절지솔위12.50%；무병사병례。결론：조기진단、유효공제출혈화항휴극치료、정학선택수술방식、쾌속우질혈관중건、조기근막절개、합리처리동맥합병상，능구강저치잔솔화병사솔。
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.
