Sonneborn Ricardo, Andrade Rafael, Bello Fernando, Morales-Uribe Carlos H, Razuk Alvaro, Soria Alfredo, Tisminetzky Gustavo Jorge, Espinoza Ricardo, Monge Tobias, Rasslan Samir, Ruiz Daniel, Sanabria-Quiroga Alvaro E, Caffaro Roberto Augusto, Sierra-Jones Juan M, Tissera Gerardo Hernán, Foianini Jorge E, Ostria Gonzalo
Department of Surgery, Universidad de Chile, Hospital del Trabajador, Santiago.
Surg Clin North Am. 2002 Feb;82(1):189-94. doi: 10.1016/S0039-6109(03)00148-8.
As has been demonstrated, significant differences exist in demographics and the likelihood of accidents among Latin American countries; however, when figures were standardized, they showed a clear similarity in all the reviewed features of vascular trauma. A total of 66.4% of cases were managed solely on a clinical basis, with 78.9% of surgical procedures being performed within 6 hours of injury. Vascular repair was attempted in 84% of arterial injuries and 43% of venous injuries. Results are extremely good, with an 89% rate of success, especially considering that 63% of injuries were gunshot wounds and that the largest series, from Brazil, had a 21.3% rate of abdominopelvic injuries. The mortality rate amounted to 12.7%, but associated injuries, and particularly multiple trauma, account for 50.0% of the deaths.
正如所证明的，拉丁美洲国家在人口统计学和事故发生率方面存在显著差异；然而，当数据标准化后，它们在血管创伤的所有审查特征上表现出明显的相似性。总共66.4%的病例仅基于临床进行处理，78.9%的外科手术在受伤后6小时内进行。84%的动脉损伤和43%的静脉损伤尝试进行血管修复。结果非常好，成功率为89%，特别是考虑到63%的损伤为枪伤，并且来自巴西的最大系列病例中有21.3%为腹盆腔损伤。死亡率为12.7%，但相关损伤，尤其是多发伤，占死亡人数的50.0%。
