Aftabuddin M, Islam N, Jafar M A, Haque E, Alimuzzaman M
Department of Cardio-Vascular Surgery, National Institute of Cardio-Vascular Diseases, Dhaka, Bangladesh.
J Trauma. 1995 Jan;38(1):149-51. doi: 10.1097/00005373-199501000-00033.
The effects of management of single forearm arterial injuries without other associated major muscular, vascular, or neurological trauma were studied. Ninety-six patients with acute injuries to either radial or ulnar arteries without obvious associated major injuries were evaluated. No patient had an ischemic hand secondary to arterial injury. The selection of operative treatment by arterial repair or ligation was by surgeon choice (50 injuries were ligated, and 46 were repaired). Six months to six years postoperative follow-up was done. The overall patency rate for all repaired vessels was 52% (24 cases). The collateral arteries appeared to be a factor causing the low patency rate. The remaining intact artery demonstrated a consistent increase in flow velocity. No subject had hand claudication; there were 51 cases (53%) of hand weakness, 27 incidents (28%) of parasthesia, and 14 incidents (15%) of cold sensitivity independent of patency of the damaged forearm vessel. In the absence of acute hand ischemia, ligation of a lacerated radial or ulnar artery is safe and cost effective.
本研究探讨了单一前臂动脉损伤且无其他相关严重肌肉、血管或神经创伤的处理效果。对96例桡动脉或尺动脉急性损伤且无明显相关严重损伤的患者进行了评估。无患者因动脉损伤继发手部缺血。手术治疗选择动脉修复或结扎由外科医生决定（50例结扎，46例修复）。术后进行了6个月至6年的随访。所有修复血管的总体通畅率为52%（24例）。侧支动脉似乎是导致通畅率低的一个因素。其余未受损的动脉血流速度持续增加。无患者出现手部间歇性跛行；有51例（53%）手部无力，27例（28%）感觉异常，14例（15%）冷敏感，与受损前臂血管的通畅情况无关。在无急性手部缺血的情况下，结扎桡动脉或尺动脉撕裂伤是安全且具有成本效益的。
