Department of Surgery, Faculty of Clinical Sciences, Cardiothoracic Surgical Unit, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Lagos, Nigeria.
Department of Surgery, Faculty of Clinical Sciences, Neurosurgical Unit, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Lagos, Nigeria.
Niger Postgrad Med J. 2022 Oct-Dec;29(4):334-340. doi: 10.4103/npmj.npmj_221_22.
Vascular injuries lead to haemorrhagic shock and distal limb ischaemia, especially with an arterial injury. This life-threatening state mandates urgent evaluation and intervention to save life and limbs. The treatment aims to restore blood flow and replace lost blood within the golden hours, stabilising cardiovascular haemodynamics and averting irreversible ischaemic damage. The aim of this study was to analyse the clinical profile of vascular injuries, management and outcomes in our institution.
This retrospective study covered the period from January 2015 to December 2021. Information of interest were extracted from the medical records of each participant. The results from the data analysis were presented in charts and tables.
Seventy-four patients aged 15-78 years (mean 32.30 ± 13.75 years) were included in this study. The male-to-female ratio was 3.6:1. The most common causes were gunshot injury, road traffic accident and iatrogenic injuries. The mean duration from injury to presentation was 9.85 h and mean duration from presentation to restoration of flow was 7.3 h. The most common injured artery was the femoral artery, whereas the most common vein was inferior vena cava. Primary vascular repair was done in majority of the cases. Amputation was performed in 18.9% with loss of viability of the limb.
Vascular injury though relatively uncommon remains a challenging and life-threatening disease predominantly in young adult males. Urgent intervention prevents limb loss and mortality. Favourable outcome is accomplished by improving emergency healthcare delivery and well-equipped vascular centres with adequately trained personnel in the nation's hospitals.
分析本机构血管损伤的临床特征、处理方法和结局。
本回顾性研究纳入了 2015 年 1 月至 2021 年 12 月期间的患者。从每位患者的病历中提取相关信息。数据分析的结果以图表形式呈现。
共纳入 74 例年龄 15-78 岁（平均 32.30 ± 13.75 岁）的患者。男女比例为 3.6:1。最常见的损伤原因为枪伤、道路交通伤和医源性损伤。受伤至就诊的平均时间为 9.85 h，就诊至血流恢复的平均时间为 7.3 h。最常损伤的动脉为股动脉，最常损伤的静脉为下腔静脉。大多数患者接受了一期血管修复。18.9%的患者行截肢术，肢体失活。
血管损伤虽然相对少见，但仍是一种具有挑战性且危及生命的疾病，主要发生于年轻成年男性。及时干预可预防肢体丧失和死亡。通过改善急诊医疗服务和在全国医院建立设备齐全、人员配备充足的血管中心，可实现良好的结局。
