Roostar L
Department of Cardiothoracic Surgery, Tartu University, Estonia.
Cardiovasc Surg. 1995 Feb;3(1):42-5. doi: 10.1016/0967-2109(95)92901-s.
The outcome of 961 patients with vascular injuries received in the Afghanistan war is reported. Some 755 (78.6%) patients had to have a primary amputation while only 206 (20.9%) had restorative surgery. The vessels were simply ligated in 85 cases and reconstructive surgery was performed in 121. Ligation resulted in 46 (54%) cases of limb salvage and functional restoration; 30 (35%) went on to amputation and nine (11%) died. Of the 121 patients treated by reconstructive surgery, 83 (68.5%) had completely patent vessels, 19 (15.7%) collateral compensation, 13 (10.7%) proceeded to subsequent amputation and six (4.9%) died. Although the location of the injury and the duration of the ischaemic period are important in deciding how to treat the vascular injuries of war, the decisive factor appears to be the pre-existing severity of regional ischaemia.
报告了在阿富汗战争中收治的961例血管损伤患者的治疗结果。约755例（78.6%）患者不得不接受一期截肢，而只有206例（20.9%）接受了修复手术。85例患者血管仅行结扎术，121例患者进行了重建手术。结扎术导致46例（54%）肢体得以保留并恢复功能；30例（35%）最终接受了截肢，9例（11%）死亡。在接受重建手术的121例患者中，83例（68.5%）血管完全通畅，19例（15.7%）有侧支循环代偿，13例（10.7%）随后接受了截肢，6例（4.9%）死亡。尽管损伤部位和缺血期的时长在决定如何治疗战争中的血管损伤方面很重要，但决定性因素似乎是局部缺血先前的严重程度。
