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四肢主干动脉损伤的诊治
引用本文:王伟,谢昌平,黄海东.四肢主干动脉损伤的诊治[J].中华创伤骨科杂志,2003,5(3):279-280.
作者姓名:王伟  谢昌平  黄海东
作者单位:1. 450007,郑州市中心医院急诊科
2. 450007,郑州市仁济创伤显微外科医院
摘    要:目的 探讨四肢主干动脉损伤的诊断与治疗。方法 1999年9月~2002年6月,收治129例176条动脉损伤,应用显微外科方法修复122例162条动脉。结果 患肢成活116例154条血管,总成活率89.9%;血管再通率95.06%。结论 认真细致的体格检查和血管多普勒探测仪检测可避免漏诊;早期应用显微外科技术进行血管修复,可成功地挽救肢体。

关 键 词:四肢主干  动脉损伤  显微外科  诊断  治疗  血管修复
文章编号:1671-7600(2003)03-0279-02
修稿时间:2003年8月4日

The diagnosis and treatment for major arterial injuries of the extremities
WANG Wei,XIE Chang ping,HUANG Hai dong.The diagnosis and treatment for major arterial injuries of the extremities[J].Chinese Journal of Orthopaedic Trauma,2003,5(3):279-280.
Authors:WANG Wei  XIE Chang ping  HUANG Hai dong
Institution:WANG Wei,XIE Chang ping,HUANG Hai dong. Department of Emergency,The Central Hospital,Zhengzhou 450007,China
Abstract:Objective To investigate the diagnosis and treatment of major arterial injuries of the extremities. Methods In the period between September 1999 and June 2002, 129 patients with 176 arterial injuries were admitted to our hospital. 122 patients of them with 162 arterial injuries underwent microsurgical repair. Results The limbs of 116 patients with 154 arterial injuries survived. The total survival rate of affected extremities was 89.9% ; the blood vessel recanalization rate was 95.06% . Conclusion Careful physical examination and advanced vascular Doppler equipment can avoid missed diagnosis, and microsurgical technique in vascular repair can successfully save limbs.
Keywords:Artery  Injury  Microsurgery  Repair
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