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[下肢主要动脉急性梗阻手术治疗后侵蚀性出血]

[Erosion-induced hemorrhage after surgical treatment of acute obstruction of major arteries of the lower extremities].

作者信息

Stepanov N V, Bogdanets L I, Ovchinninskiĭ M N

出版信息

Vestn Khir Im I I Grek. 1989 Feb;142(2):82-4.

PMID:2728256
Abstract

The article generalizes an experience with the surgical treatment of arrosion bleedings in 40 patients which was a complication of the operative treatment of acute arterial obstruction of main extremity arteries in 2983 patients. It was shown that suture of the vessel defect under conditions of a purulent wound was inadmissible, since recurrent bleedings are inevitable and often followed by lethal outcomes. The optimal method of treatment of arrosion bleedings is considered to be ligation of the artery in combination with an extraanatomical shunt.

摘要

本文总结了40例因2983例主要肢体动脉急性动脉阻塞手术治疗并发症导致的侵蚀性出血的手术治疗经验。结果表明,在脓性伤口情况下缝合血管缺损是不可取的,因为复发性出血不可避免,且常常导致致命后果。侵蚀性出血的最佳治疗方法被认为是动脉结扎联合解剖外分流术。

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