锁骨下动脉和无名动脉损伤的处理
Management of subclavian and innominate artery injuries.
作者信息
Richardson J D, Smith J M, Grover F L, Arom K V, Trinkle J K
出版信息
Am J Surg. 1977 Dec;134(6):780-4. doi: 10.1016/0002-9610(77)90324-5.
Subclavian and innominate arterial injuries are life-threatening and require aggressive treatment. Physical findings, chest x-ray examinations, and a high index of suspicion led to expoloration in seventeen of twenty-two patients in this series, but the selective use of arteriography is helpful. Primary repair was accomplished in nineteen of the twenty-two patients. Wide proximal exposure proved to be accompanied by little morbidity with the reward of increasing survival to 95.5 per cent.
锁骨下动脉和无名动脉损伤危及生命，需要积极治疗。体格检查、胸部X线检查以及高度的怀疑指数促使本系列22例患者中的17例接受了探查，但选择性使用动脉造影术是有帮助的。22例患者中有19例完成了一期修复。事实证明，广泛的近端暴露伴随的发病率较低，而生存率提高到95.5%则是其回报。
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