四肢主要动脉损伤36例分析

目的:对36例四肢主要动脉损伤进行回顾分析.方法:所有病例分别采用血管修补,端-端吻合,自体大隐静脉移植术.结果:36例中3例出现缺血性肌挛缩,1例Ⅱ期截肢,其余病例无因缺血引起的并发症.结论:早期诊断及尽早重建血液循环是治疗的关键,同时须认真处理合并伤和及时行筋膜切开减压.

Clinical Analysis for the Main Arterial Injuries of the Extremities

Objective:A retrospective analysis of the treatment results which on 36 cases main arterial injuries of extremities.Methods:All wounded were managed by one of the following methods such as laceration suturing,end end anastomosis and great saphenous vein homografting.Result:Among the 36 case,except 3 cases were suffering from volkmann's ischaemic contracture and one needed secondary amputation,the rest did not have ischaemic complications.Conclusions:Early diagnose and reform circulation timely are the key of treatment Meticulous management of the coexited lesions and prompt fasciotomy are also important measures for a satisfactory result.