12例开放性腋动脉损伤的诊治

目的探讨开放性腋动脉损伤的诊治体会。方法1996年-2002年，共诊治12例开放性腋动脉损伤的患者，从受伤到入院时间为3～14h，入院时均处于不同程度的休克状态，桡动脉搏动减弱或消失。在积极抗休克治疗的同时，急诊进行清创、血管神经探查和修复术。其中行腋动脉修补5例，腋动脉直接吻合6例，自体静脉移植修复1例。结果伤后8h内腋动脉再通8例，8～16h内腋动脉再通4例，无病例发生截肢或死亡。术后伤口均Ⅰ期愈合，桡动脉搏动良好。结论对开放性腋动脉损伤早期诊断和及时手术探查是控制休克、获取良好疗效的关键。

Diagnosis and treatment of open axillary artery injuries in 12 cases

Objective To retrospectively study the results of 12 cases with open axillary artery injuries from from to 2002 and summarize the clinical experience of diagnosis and treatment. Methods The time from injury to admission was 3 - 14h. All cases associated with shock. During antishock, early debridement and surgical exploration were carried out. Direct suture of the axillary artery was performed on 5 cases, end-to-end anastomosis on 6, auto saphenous vein graft on 1. Results Blood currents were rebuilt on 8 cases within 8h after arterial injures, 4 within 8 - 16h. There were no death and amputation in this group. Conclusion Early diagnosis and surgical repair is a key to control shock and get good results in cases with open axfllary artery injuries.