Asfar Sami, Al-Ali Jassim, Safar Hussein, Al-Bader Marzouk, Farid Emad, Ali Ahmad, Kansou Jalal
Vascular Surgery Unit, Department of Surgery, Mubarak Al-Kabeer Hospital, Safat, Kuwait.
Eur J Surg. 2002;168(11):626-30. doi: 10.1080/11024150201680010.
To audit the management of vascular trauma in Kuwait, 1992-2000.
Retrospective open study.
Vascular surgery unit, teaching hospital, Kuwait.
155 patients with vascular injuries, most of which (n = 118) involved the extremities. 21 had neck injuries, 10 abdominal, and 6 chest.
Revascularisation usually using the long saphenous vein in addition to direct repair or end-to-end anastomosis.
Morbidity (amputation) and mortality.
Four lower limb grafts failed, two of which (2/69, 3%) required amputation. Overall, four patients died (3%), one of pulmonary embolism and 3 of severe injuries to major abdominal vessels. 3/10 patients with abdominal vascular trauma died. Mean (SD) follow up period was 4.4 (2) years.
Civilian violence has increased in Kuwait. Vascular trauma to abdominal vessels is associated with high mortality. Autogenous saphenous vein forms an excellent conduit for revascularisation.
审核1992 - 2000年科威特血管创伤的管理情况。
回顾性开放研究。
科威特教学医院的血管外科病房。
155例血管损伤患者，其中大多数（n = 118）累及四肢。21例有颈部损伤，10例腹部损伤，6例胸部损伤。
除直接修复或端端吻合外，通常使用大隐静脉进行血管重建。
发病率（截肢）和死亡率。
4例下肢移植血管失败，其中2例（2/69，3%）需要截肢。总体而言，4例患者死亡（3%），1例死于肺栓塞，3例死于腹部主要血管的严重损伤。10例腹部血管创伤患者中有3例死亡。平均（标准差）随访期为4.4（2）年。
科威特的平民暴力事件有所增加。腹部血管创伤与高死亡率相关。自体大隐静脉是血管重建的优良管道。
