Muguti G I, Kovac M
Department of Surgery, University of Zimbabwe Medical School, Avondale, Harare, Zimbabwe.
Cent Afr J Med. 1997 May;43(5):143-8.
To assess the extent of the problem of major vascular injuries in our practice and also to analyse the causes and the results of our management of these injuries at Mpilo Central Hospital.
A study of eight patients who were treated for major vascular injuries at Mpilo Central Hospital between 1989 and 1994.
Mpilo Central Hospital, Bulawayo, Zimbabwe.
Eight patient who were treated for major vascular injuries.
Causes of vascular injury, other injuries, haemodynamic state on admission, surgical procedures carried out, complications and outcome.
All three major vascular injuries due to stab wounds were successfully repaired. Of the four patients with major vascular injuries due to complicated orthopaedic injuries, two had successful repair of the vascular injury but the other two underwent amputation. The eighth patient who sustained an arterial injury during the course of a difficult operation for a tumour on the left forearm had a successful repair of the vascular injury.
This study has shown that stab wounds and complicated orthopaedic injuries are the main cause of major vascular injury in civilian practice in our community. The importance of adequate resuscitation, early diagnosis and early appropriate surgical intervention is emphasized.
评估我院主要血管损伤问题的严重程度，并分析米皮洛中心医院对这些损伤的处理原因及结果。
对1989年至1994年间在米皮洛中心医院接受主要血管损伤治疗的8例患者进行研究。
津巴布韦布拉瓦约的米皮洛中心医院。
8例接受主要血管损伤治疗的患者。
血管损伤的原因、其他损伤情况、入院时的血流动力学状态、实施的外科手术、并发症及结果。
所有3例因刺伤导致的主要血管损伤均成功修复。4例因复杂骨科损伤导致主要血管损伤的患者中，2例血管损伤成功修复，但另外2例行截肢手术。第8例患者在左前臂肿瘤困难手术过程中发生动脉损伤，血管损伤成功修复。
本研究表明，刺伤和复杂骨科损伤是我们社区平民主要血管损伤的主要原因。强调了充分复苏、早期诊断和早期适当外科干预的重要性。
