Imbert P, Mathieu J P, Touati Y, Cardon J M, Tournigand P
Acta Chir Belg. 1982 Sep-Oct;82(5):467-72.
The authors analyse a series of 100 arterial lesions in respect to the localization, the time elapsed between the accident and reconstructive surgery, and the number of associated lesions (two or more). The results confirm the prognostic importance of the factor time: 83% of the good results are obtained in the first twelve hours, and only 67.5% after twelve hours. The results seen with popliteal and tibial lesions show a steady improvement from a 50% amputation rate twenty years ago to a 21.6% rate at the present time. The presence of associated lesions is equally important in the outcome: isolated arterial lesions (or accompanied by no more than two other anomalies) are successfully treated in 91% of the patients, opposed to 50% when loco-regional lesions are found (bone, skin, veins, nerves, muscles). The optional treatment of these complex traumatisms should be by means of a multidisciplinary approach.
作者分析了100例动脉损伤病例，涉及损伤部位、事故与重建手术之间的时间间隔以及相关损伤的数量（两处或更多）。结果证实了时间因素对预后的重要性：83%的良好结果出现在事故后的前12小时内，12小时后仅有67.5%。腘动脉和胫动脉损伤的治疗结果显示出稳步改善，从20年前50%的截肢率降至目前的21.6%。相关损伤的存在对治疗结果同样重要：孤立的动脉损伤（或伴有不超过两种其他异常情况）在91%的患者中得到成功治疗，而当发现局部区域损伤（骨骼、皮肤、静脉、神经、肌肉）时，这一比例为50%。这些复杂创伤的最佳治疗方法应采用多学科方法。
