| 胫骨上端骨折合并腘动脉损伤 |
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| 引用本文： | 平安松,顾洁夫,王建平.胫骨上端骨折合并腘动脉损伤[J].中国矫形外科杂志,2000,7(5). |
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| 作者姓名： | 平安松 顾洁夫 王建平 |
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| 作者单位： | 湖北医科大学附属第二医院!武汉430071 |
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| 摘 要： | 目的 :报道胫骨上端骨折合并动脉损伤的治疗效果。方法 :1993～ 1998年共收治胫骨上端骨折合并动脉损伤病人 12例 ,其中动脉断裂 8例、血管内膜损伤后血栓形成 1例、血管受压 3例 ,动脉断裂采用自体大隐静脉移植修复 6例、端端吻合 2例。结果 :1例因肢体缺血时间过长、坏死而截肢 ,血管吻合术后肢体存活率为 10 0 %。结论 :仔细的临床检查是发现肢体血管损伤的重要手段 ,早期诊断和及时合理的治疗是处理血管损伤的关键
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| 关 键 词： | 动脉 损伤 胫骨上端骨折 |
Popliteal ArteryInjuries Associated with Proximal Tibial Fracture |
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| PINGAn song,GUJie fu,WANGJian ping,et al..Popliteal ArteryInjuries Associated with Proximal Tibial Fracture[J].The Orthopedic Journal of China,2000,7(5). |
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| Authors: | PINGAn song GUJie fu WANGJian ping |
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| Institution: | PINGAn song,GUJie fu,WANGJian ping,et al .DepartmentofOrthopedics,TheSecondAffiliatedHospitalofHubeiMedicalUniversity .Wuhan 430 0 71. |
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| Abstract: | Objective :Toreportthecurativeeffectofpoplitealarteryinjuriesassociatedwithproximaltibialfracture . Method :Between 1993and 1998,12casesofpoplitealarteryinjuriesassociatedwithproximaltibialfractureweretreated .The typeofarteryinjurywasdisruptionin 8cases ,thrombosisin 1andspasmin 3 .Result :Limbsurvivalrateafterpoplitealartery repairwas 10 0 % .Amputationwasperformedinonecasebecauseofirreversibletissueischemia .Conclusion :Carefulclinicalex aminationisveryimportanttothediagnosisofvesselsinjuriesonlimbinpatientswithcombinedfracturesandpoplitealarteryin jurieshighlydependsondiagnosisandreasonabletreatment . |
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| Keywords: | Poplitealartery Injury Proximaltibialfracture |
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