Igun G O, Nwadiaro H C, Sule A Z, Ramyil V M, Dakum N K
The General Surgery Unit, Department of Surgery, Jos University Teaching Hospital.
West Afr J Med. 2001 Apr-Jun;20(2):102-6.
To highlight the problems that are associated with the causes, diagnosis and management of vascular injuries.
A retrospective study of 52 cases of vascular injuries managed at the Jos University Teaching Hospital (JUTH) during a ten year period.
The sex ratio M:F was 6:1 and the mean age at presentation was 23 years. The most common causes of vascular injuries were road traffic accidents in 44 per cent, iatrogenic 27 per cent and industrial in 13 per cent. These resulted in 50 cases (96 percent) of penetrating vascular injuries and 2 (4 percent) of blunt injury to vessels. Fifty-four percent of patients presented in shock. Active bleeding was recorded in 81 percent, pulse deficit in 65 percent and frank gangrene in 16 per cent. Aneurysms of various types occurred in 14 percent. Associated injuries were fractures in 60 percent, soft tissue injuries in 56 per cent and peripheral nerve injuries in 10 per cent. Overall, 52 arteries and 51 veins were injured, resulting in 15 lacerations, 74 complete transactions and 2 vascular blunt injuries with intimal tears and intraluminal thrombosis. Direct lateral suture of vessels was employed in 13 vessels, anastomosis in 12 vessels, graft interposition in 4 cases, ligation in 49 cases and aneurysmectomy in 3 cases. Three primary amputations were performed versus 7 secondary amputations. Hospital mortality was 16 percent and was mainly due to hypovolaemic shock, acute renal failure and sepsis.
强调与血管损伤的病因、诊断和处理相关的问题。
对乔斯大学教学医院（JUTH）在十年期间处理的52例血管损伤病例进行回顾性研究。
男女比例为6:1，就诊时的平均年龄为23岁。血管损伤最常见的原因是道路交通事故，占44%，医源性损伤占27%，工业事故占13%。这些导致50例（96%）穿透性血管损伤和2例（4%）血管钝性损伤。54%的患者出现休克。81%的患者有活动性出血，65%有脉搏缺失，16%有明显坏疽。14%出现各种类型的动脉瘤。相关损伤包括60%的骨折、56%的软组织损伤和10%的周围神经损伤。总体而言，52条动脉和51条静脉受损，导致15处裂伤、74处完全离断和2例伴有内膜撕裂和腔内血栓形成的血管钝性损伤。13条血管采用血管直接侧方缝合，12条血管进行吻合，4例进行移植血管置入，49例进行结扎，3例进行动脉瘤切除术。进行了3例一期截肢和7例二期截肢。医院死亡率为16%，主要原因是低血容量性休克、急性肾衰竭和脓毒症。
