Moini Majid, Hamedani Kaveh, Rasouli Mohammad R, Nouri Mohsen
Department of Vascular Surgery, Sina Hospital, Medical Sciences/Tehran University, Tehran, Iran.
Int J Surg. 2008 Feb;6(1):20-2. doi: 10.1016/j.ijsu.2007.11.005. Epub 2007 Nov 22.
A large proportion of patients with traumatic brachial artery injury have delayed referral for arterial repair in Iran. In this paper, we review the early outcome of delayed surgical repair of these patients. Patients with traumatic brachial artery injury who had been referred later than 24h from occurrence of trauma were selected from May 2003 to October 2004. Presence of mottling was the main exclusive criterion. Pre- and post-operative data were registered in data sheets. Among 27 patients who entered the study, the mechanism of trauma was stabbings in 74% of cases. End-to-end anastomosis (n=14) and interposition graft with saphenous vein (n=12) were the techniques used. Amputation was inevitable due to progressing infection in one case. Upper limbs were saved in the remaining 26 cases (96%). Based on these data we recommend arterial repair in patients with traumatic brachial artery injury even after golden time of arterial repair.
在伊朗，很大一部分创伤性肱动脉损伤患者延迟了动脉修复的转诊。在本文中，我们回顾了这些患者延迟手术修复的早期结果。2003年5月至2004年10月，选取了创伤发生后超过24小时才转诊的创伤性肱动脉损伤患者。主要的排除标准是出现斑纹。术前和术后数据记录在数据表中。在纳入研究的27例患者中，74%的创伤机制为刺伤。采用的技术包括端端吻合术（n = 14）和大隐静脉间置移植术（n = 12）。1例因感染进展导致截肢不可避免。其余26例（96%）上肢得以保留。基于这些数据，我们建议即使在动脉修复的黄金时间之后，创伤性肱动脉损伤患者也应进行动脉修复。
