Trauma Centre, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Eur J Vasc Endovasc Surg. 2012 Aug;44(2):199-202. doi: 10.1016/j.ejvs.2012.05.012. Epub 2012 Jun 2.
To report the surgical management and outcome of iliac vessel (IV) injuries in a civilian trauma centre with a high incidence of penetrating trauma.
DESIGN, PATIENTS AND METHODS: A retrospective record review of patients with IV injuries treated between January 2000 and December 2009.
Sixty nine patients, 59 with gunshot wounds, sustained 108 iliac vessel injuries. Mean revised trauma and injury severity scores was 7.06 and 28.4, respectively. Twenty nine patients required damage control laparotomy. Common or external iliac arteries were repaired by primary repair (10), temporary shunt with delayed graft (6), interposition graft (5) or ligation if limb non-viable (3). Forty-seven patients had injuries to the common or external iliac vein, 42 were ligated. Mortality was 25% and 6 survivors required amputation.
In a stable patient a primary arterial repair is preferred but a temporary shunt can be a life and limb saving option in the unstable patient. Ligating the common or external iliac veins is associated with a low incidence of prolonged leg swelling.
报告在一个平民创伤中心，因枪伤造成的髂血管（IV）损伤的手术治疗和结果。
设计、患者和方法：回顾性记录 2000 年 1 月至 2009 年 12 月期间接受 IV 损伤治疗的患者。
69 名患者，59 名因枪伤导致 108 处髂血管损伤。平均修订创伤和损伤严重程度评分分别为 7.06 和 28.4。29 名患者需要进行损伤控制性剖腹手术。股总动脉或股外动脉通过一期修复（10 例）、带延迟移植物的临时分流术（6 例）、中间移植物（5 例）或肢体不可存活时结扎（3 例）进行修复。47 例患者存在股总动脉或股外静脉损伤，其中 42 例被结扎。死亡率为 25%，6 例存活者需要截肢。
在稳定的患者中，首选一期动脉修复，但在不稳定的患者中，临时分流术可以是挽救生命和肢体的选择。结扎股总动脉或股外静脉与腿部肿胀持续时间短的发生率低相关。
