Natali J
Bull Acad Natl Med. 1989 Jun;173(6):753-65; discussion 765-7.
We have observed during a period of 24 years, 277 vascular iatrogenic injuries. An analytic study has revealed the prominent following etiologies; Injections, perfusions, catheterisms and arteriographies: 121 cas; Orthopedic surgery: 69 cas; General surgery: 14 cas; Surgery and sclerosis of varicose veins: 71 cas. The author analyse the various aspects of these lesions, most of them are due to imperfect technique or professional error. A special attention is given to the 82 very serious cases, seen in emergency with more of 50% of bad results. Vascular risk is not frequent, but it exist in very numerous medico-surgical procedures. Early recognition and early correction of the vascular lesions reduce the incidence and the gravity of complications.
在24年的时间里，我们观察到277例血管医源性损伤。一项分析研究揭示了以下主要病因：注射、灌注、导管插入术和动脉造影：121例；骨科手术：69例；普通外科手术：14例；静脉曲张手术和硬化治疗：71例。作者分析了这些损伤的各个方面，其中大多数是由于技术不完善或专业失误所致。特别关注了82例非常严重的病例，这些病例在急诊中出现，不良结果超过50%。血管风险并不常见，但在众多的医疗外科手术中都存在。早期识别和早期纠正血管损伤可降低并发症的发生率和严重程度。
