Degiannis E, Levy R D, Hatzitheofilou C, Florizoone M G, Saadia R
Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa.
Injury. 1996 Jun;27(5):315-8. doi: 10.1016/0020-1383(96)86840-9.
In a prospective study of 69 patients with gunshot arterial injuries to the groin, there were 18 patients with iliac and 51 with femoral artery injuries. In the former group, the majority of patients were admitted with gross physiological derangement that did not respond to pre-operative resuscitation, so were taken directly to theatre. There was a 39 per cent peri-operative mortality. A prompt operation is mandatory to improve the chances of survival of patients with this injury. In the latter group all patients responded to pre-operative resuscitation and in the great majority, the diagnosis was established by the presence of 'hard' signs of arterial injury alone. There was a 4 per cent amputation rate and no mortality.
在一项针对69例腹股沟区动脉枪伤患者的前瞻性研究中，18例为髂动脉损伤，51例为股动脉损伤。在前一组中，大多数患者入院时存在严重的生理紊乱，术前复苏无效，因此直接被送往手术室。围手术期死亡率为39%。对于此类损伤的患者，必须迅速进行手术以提高生存几率。在后一组中，所有患者对术前复苏均有反应，绝大多数患者仅通过动脉损伤的“硬性”体征确诊。截肢率为4%，无死亡病例。
