Kurtoğlu M, Ertekin C, Bulut T, Belgerden S, Genç F A
Department of Emergency Surgery, Medical School, Istanbul University, Turkey.
Int Angiol. 1991 Apr-Jun;10(2):95-9.
In between the years 1984-1989, 115 peripheral arterial injuries were admitted to the Emergency Surgical Unit of Istanbul Medical Faculty. Seventy-two patients (62%) had upper extremity and 43 patients (38%) had lower extremity vascular injuries. Twenty-eight of these cases (24%) were due to blunt trauma, angiographic studies were obtained in 26 patients. There were 9.5% mortality and 7% amputation rate. We conclude that arterial injuries deserves early recognition, rapid fixation of osseous injuries, wide debridement, fasciotomy in blunt injuries and proper antimicrobial therapy.
1984年至1989年间，115例周围动脉损伤患者被收治于伊斯坦布尔医学院急诊外科。72例患者（62%）为上肢血管损伤，43例患者（38%）为下肢血管损伤。其中28例（24%）由钝性创伤所致，26例患者进行了血管造影检查。死亡率为9.5%，截肢率为7%。我们得出结论，动脉损伤需要早期识别、快速固定骨损伤、广泛清创、对钝性损伤行筋膜切开术以及适当的抗菌治疗。
