与肢体骨折相关的血管损伤。

Vascular injuries associated with limb fractures.

作者信息

al-Salman M M, al-Khawashki H, Sindigki A, Rabee H, al-Saif A, al-Salman Fachartz F

机构信息

Vascular Surgery Division, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Injury. 1997 Mar;28(2):103-7. doi: 10.1016/s0020-1383(96)00169-6.

DOI:10.1016/s0020-1383(96)00169-6

PMID:9205574

Abstract

The records of 46 patients with vascular injuries of the lower and upper limbs associated with bone fractures and managed in the authors' vascular and orthopaedics divisions were reviewed. All were young men, 26 with blunt and 20 with penetrating vascular injuries; 20 were treated by end to end anastomosis, 12 by vein interposition grafting, six by prosthetic graft, six by vein patches and lateral sutures and two by ligations. The limb salvage rate was 93 per cent. Three patients died (6.5 per cent) of severe associated injuries. Amputations were needed in three patients (6.5 per cent) with popliteal, tibial arteries and vein injuries. An aggressive approach to limb salvage is needed in these extensive injuries.

摘要

回顾了作者血管外科和骨科收治的46例伴有骨折的下肢和上肢血管损伤患者的记录。所有患者均为青年男性，26例为钝性血管损伤，20例为穿透性血管损伤；20例行端端吻合术治疗，12例行静脉移植术，6例行人工血管移植术，6例行静脉补片和侧方缝合术，2例行结扎术。肢体挽救率为93%。3例患者（6.5%）因严重合并伤死亡。3例（6.5%）腘动脉、胫动脉和静脉损伤患者需要截肢。对于这些广泛损伤，需要采取积极的肢体挽救方法。