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[血管外科化脓性和败血症性并发症的重建手术]

[Reconstructive operations in suppurative and septic complications of vascular surgery].

作者信息

Lemenev V L, Shcherbiuk A N, Mikhailov I P

出版信息

Vestn Khir Im I I Grek. 1988 Jul;141(7):57-60.

PMID:3222898
Abstract

Results of the preventive surgical treatment in infection of vascular prostheses were much better than those obtained after operations performed against the background of arrosive hemorrhage. The division of the operation into two steps--the extrafocal shunt at the first step and removal of the purulent prosthesis at the second step--results not only in better immediate results of the treatment of these complications, but also in reduced lethality in this group of patients. The traction mode of removal of the prosthesis is recommended to patients with a pronounced scarry process around the prosthesis.

摘要

血管假体感染的预防性外科治疗结果比在侵蚀性出血背景下进行手术的结果要好得多。将手术分为两个步骤——第一步进行病灶外分流,第二步切除化脓性假体——不仅能使这些并发症的治疗立即取得更好的效果,还能降低该组患者的死亡率。对于假体周围有明显瘢痕形成的患者,建议采用牵引方式取出假体。

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