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肢体骨折后的血管损伤与截肢

Vascular injuries and amputation following limb fractures.

作者信息

Eren N, Ozgen G, Gürel A, Ener B K, Furtun K

机构信息

Department of Thoracic and Cardiovascular Surgery, School of Medicine, Dicle University, Diyarbakir, Turkey.

出版信息

Thorac Cardiovasc Surg. 1990 Feb;38(1):48-50. doi: 10.1055/s-2007-1013992.

DOI:10.1055/s-2007-1013992
PMID:2309230
Abstract

Sixty-seven cases treated for peripheral vascular injuries associated with fractures between the years of 1977 and 1988 in the Department of Thoracic and Cardiovascular Surgery of the Dicle University, Faculty of Medicine, were reviewed retrospectively. The cause of injury was blunt trauma in 37 cases (55%) and penetrating wounds in the others, 29 gunshot injuries and one case with a stab wound. The maintenance of vessel continuity was aimed at in all patients. The ratio of limb amputation was 13% in patients operated upon within the first 8 hours after the injury. The same ratio was 39% in cases where the surgical intervention was delayed beyond 8 hours.

摘要

回顾性分析了1977年至1988年间在迪克莱大学医学院胸心血管外科接受治疗的67例伴有骨折的周围血管损伤病例。损伤原因中,37例(55%)为钝器伤,其余为穿透伤,其中29例为枪伤,1例为刺伤。所有患者均旨在维持血管连续性。受伤后8小时内接受手术的患者截肢率为13%。手术干预延迟超过8小时的病例,截肢率为39%。

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