熊袭击后的血管损伤：发生率、手术挑战及结果
Vascular injuries after bear attacks: Incidence, surgical challenges and outcome.
作者信息
Wani Mohd Lateef, Ahangar Abdul Gani, Lone Gh Nabi, Lone Reyaz Ahmad, Ashraf Hakeem Zubair, Dar Abdul Majeed, Bhat M A, Singh Shyam, Bijli Akram Hussain, Irshad Ifat
机构信息
Department of Cardiovascular and Thoracic Surgery, SKIMS, Soura, Kashmir - 190 011, India.
出版信息
J Emerg Trauma Shock. 2011 Jan;4(1):20-2. doi: 10.4103/0974-2700.76827.
BACKGROUND
Bear mauling is rarely reported in medical literature due to its rare occurrence. Present study was undertaken to describe the pattern and management of bear maul vascular injuries in Kashmir.
PATIENTS AND METHODS
Study of patients with bear maul vascular injury from 1(st) Jan 2004 to 31(st) Dec. 2008. Fifteen patients with bear maul vascular injury were studied. All patients of bear maul without vascular injury were excluded from the study.
RESULTS
Most of the patients were treated by reverse saphenous vein graft or end to end anastomosis. Most common complication was wound infection (20%) followed by graft occlusion (13.33%). There was no operative death.
CONCLUSION
Bear attacks are very common in Kashmir. Vascular injury due to bear maul needs prompt resuscitation and revascularization. Results are very good provided timely intervention for revascularization is done.
背景
由于熊袭击事件很少发生，医学文献中关于熊袭击的报道也很少。本研究旨在描述克什米尔地区熊袭击导致的血管损伤的模式及处理方法。
患者与方法
对2004年1月1日至2008年12月31日期间因熊袭击导致血管损伤的患者进行研究。共研究了15例因熊袭击导致血管损伤的患者。所有未发生血管损伤的熊袭击患者均被排除在研究之外。
结果
大多数患者接受了大隐静脉逆行移植或端端吻合术治疗。最常见的并发症是伤口感染（20%），其次是移植血管闭塞（13.33%）。无手术死亡病例。
结论
熊袭击在克什米尔地区非常常见。熊袭击导致的血管损伤需要及时复苏和血管重建。如果能及时进行血管重建干预，效果会非常好。
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