Onakpoya Uvie Ufuoma, Eyekpegha Joel Oghenevware, Ogunrombi Akinwumi, Ohuche Akumbu Sylva, Ojo Temitope Olumuyiwa
Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Surgery, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
Niger J Surg. 2019 Jan-Jun;25(1):85-90. doi: 10.4103/njs.NJS_18_18.
Extremity arterial injuries are an important cause of loss of life/limb after trauma. Early intervention is important for the good outcome.
The objective of this study is to review the pattern of presentation and study the factors that influences the outcome of extremity arterial injuries in our hospital.
This is a retrospective study of all patients with injuries to the extremity arteries requiring surgical intervention from July 2007 to June 2015. Data obtained included biodata, ischemic time, arteries involved, surgical intervention, and outcomes and analyzed using SPSS version 22.
Our hospital is the main referral hospital for vascular trauma serving four adjoining states in Nigeria and is linked to major cities by at least 3 Trunk-A federal roads.
The subjects are patients who were managed in our cardiovascular surgical unit for the study duration (July 2007-June 2015) who had extremity arterial injuries.
A total of 36 patients presenting with 40 arterial injuries in 37 limbs were studied. The mean age was 28.4 ± 10.3 years with male preponderance (88.9%). Gunshot injuries were the most common cause of arterial injuries (37.8%), followed by assault (27%). The mean time from injury to presentation for acute injuries was 20.4 h but 23 of the patients (63.8%) presented to the accident and emergency department within 12 h of injury. A limb salvage rate of 64.9% was achieved though ischemic times of ≥12 h were associated with poor outcomes.
Prolonged ischemic time is associated with poor outcomes. Efforts should be put in place to reduce the limb ischemic times.
肢体动脉损伤是创伤后导致生命/肢体丧失的重要原因。早期干预对于良好预后至关重要。
本研究的目的是回顾临床表现模式，并研究影响我院肢体动脉损伤预后的因素。
这是一项对2007年7月至2015年6月期间所有需要手术干预的肢体动脉损伤患者的回顾性研究。获得的数据包括生物数据、缺血时间、受累动脉、手术干预及预后，并使用SPSS 22版进行分析。
我院是尼日利亚四个毗邻州血管创伤的主要转诊医院，至少有3条A类联邦主干道与主要城市相连。
研究对象为在我院心血管外科接受治疗（2007年7月至2015年6月）的肢体动脉损伤患者。
共研究了36例患者，其37条肢体出现40处动脉损伤。平均年龄为28.4±10.3岁，男性占优势（88.9%）。枪伤是动脉损伤最常见的原因（37.8%），其次是袭击（27%）。急性损伤从受伤到就诊的平均时间为20.4小时，但23例患者（63.8%）在受伤后12小时内到达急诊科。尽管缺血时间≥12小时与不良预后相关，但肢体挽救率仍达到64.9%。
缺血时间延长与不良预后相关。应努力减少肢体缺血时间。
