Bilgen Sadik, Türkmen Nursel, Eren Bülent, Fedakar Recep
Department of Orthopedics, Uludağ University Faculty of Medicine, Bursa, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Jul;15(4):357-61.
Peripheral vascular injuries are frequently encountered in lethal and nonlethal trauma. Although significant improvements in treatment have been achieved, such injuries are still important causes of mortality.
In this study, the records of 6769 autopsies performed between 1996 and 2006 at the Council of Forensic Medicine Bursa Group Chairmanship Morgue Department were evaluated retrospectively.
The 63 cases (0.9%) who were determined to have died due to vascular injury were included in this study. Fifty-seven cases (90.5%) were men (mean age: 36 years); 58.7% of the injuries were due to stab wounds. The femoral artery and vein were the most frequently injured vessels. The origin was a homicide in 85.7% of the cases. In 25% of the cases, blood alcohol levels were between 44 and 256 mg/dL.
The availability of experienced surgical teams and effective prehospital emergency care are vital for decreasing the mortality due to extremity vascular injuries. In the autopsy of a patient who died primarily due to extremity vascular injury, the injured vessel, numbers of injuries and of lethal injuries, and locations and sides of the injuries shed light on the possible presence of intention.
周围血管损伤在致命和非致命创伤中经常遇到。尽管在治疗方面已取得显著进展，但此类损伤仍是重要的死亡原因。
在本研究中，对1996年至2006年期间在法医委员会布尔萨小组主席停尸房部门进行的6769例尸检记录进行了回顾性评估。
本研究纳入了63例（0.9%）因血管损伤死亡的病例。57例（90.5%）为男性（平均年龄：36岁）；58.7%的损伤是由刺伤所致。股动脉和股静脉是最常受伤的血管。85.7%的病例起源于凶杀。25%的病例血液酒精水平在44至256mg/dL之间。
经验丰富的手术团队和有效的院前急救对于降低肢体血管损伤导致的死亡率至关重要。在主要因肢体血管损伤死亡的患者尸检中，受伤血管、损伤数量和致命伤数量以及损伤的位置和侧别有助于了解是否可能存在故意行为。
