腘动脉钝性损伤：连续100例损伤病例

Blunt popliteal artery trauma: one hundred consecutive injuries.

作者信息

Wagner W H, Calkins E R, Weaver F A, Goodwin J A, Myles R A, Yellin A E

机构信息

Department of Surgery, Los Angeles County-University of Southern California Medical Center 90033.

出版信息

J Vasc Surg. 1988 May;7(5):736-43. doi: 10.1067/mva.1988.avs0070736.

DOI:10.1067/mva.1988.avs0070736

PMID:3367440

Abstract

An institutional experience with 100 consecutive blunt popliteal artery injuries over a 20-year period was reviewed. The overall amputation rate was 15%; however, during the past 7 years this has declined from 23% to 6%. Minimizing delay in the revascularization of ischemic limbs, routine systemic heparinization, primary arterial repair when possible, repair of popliteal venous injuries, aggressive wound debridement, and early soft tissue coverage have contributed to improved limb salvage during the 1980s.

摘要

回顾了20年间连续100例腘动脉钝性损伤的机构经验。总体截肢率为15%；然而，在过去7年中，这一比例已从23%降至6%。尽量减少缺血肢体血管重建的延迟、常规全身肝素化、尽可能进行一期动脉修复、修复腘静脉损伤、积极的伤口清创以及早期软组织覆盖，这些措施促使20世纪80年代肢体挽救率得到提高。