Natali J, Benhamou A C
J Cardiovasc Surg (Torino). 1979 Mar-Apr;20(2):169-76.
From the files of an insurance company and from a number of our own files as expert medical witness to the court we have been able to collect 125 cases of malpractice suits following a iatrogenic vascular injury. An analytic study has revealed the following: --12 vascular injuries occurred after stripping of varicose veins of the lower extremities; --4 accidents occurred during arterial surgery; --35 lesions followed orthopedic surgery; and --2 general surgery. Besides these 53 injuries following surgical procedures, 72 injuries are described following non-surgical diagnostic or therapeutic procedures: --sclerotherapy of varicose veins or angiomas: 34 cases; --injection of anesthesic agents: 20 cases; --injections, infusions, catheterisms: 16 cases; and --endoscopic procedures: 2 cases. Vascular risk exists in almost all medico-surgical procedures and requires constant and careful attention since professional responsibility is easily involved. Early recognition and early correction of the vascular lesion reduce the incidence and the gravity of the complications.
从一家保险公司的档案以及我们作为法庭医学专家证人的一些档案中，我们收集到了125例医源性血管损伤后发生的医疗事故诉讼案例。一项分析研究揭示了以下情况：——12例血管损伤发生在下肢静脉曲张剥脱术后；——4例事故发生在动脉手术期间；——35例损伤发生在骨科手术后；——2例发生在普通外科手术后。除了这53例手术相关损伤外，还有72例损伤发生在非手术诊断或治疗过程之后：——静脉曲张或血管瘤硬化治疗：34例；——麻醉剂注射：20例；——注射、输液、插管：16例；——内镜检查：2例。几乎所有医疗手术过程中都存在血管风险，由于容易涉及职业责任，因此需要持续且谨慎的关注。血管病变的早期识别和早期纠正可降低并发症的发生率和严重程度。
