小儿周围血管创伤的诊治

目的探讨小儿周围血管创伤的临床特点,提高对该病的诊治水平。方法对12例小儿血管创伤患者的临床表现、辅助检查以及手术处理等临床资料进行回顾性分析。结果12例患儿经急诊手术重建血管,8例直接修复动脉缺损,2例采用自体大隐静脉补片修补动脉缺损,2例采用人造血管。术后11例重建血管通畅,1例血栓形成。结论小儿血管创伤应尽早明确诊断并行手术重建血管。

Management of pediatric peripheral vascular injuries

Objective To discuss the diagnosis, treatment and clinical characteristics of pediatric vascular injuries. Methods Patients with pediatric vascular injuries were retrospectively investigated. The clinical symptom and prognosis were collected and studied. Results All of the 12 patients received emergency surgical treatment to repair the vascular injuries. 8 cases were directly repaired, and saphenous vein graft patch were placed in 2 cases and vascular prostheses were placed in 2 patients. 11 reconstruction arteries were resumed,and 1 arterial obstruction occurred just after the surgery. Conclusion Pediatric vascular injuries should be diagnosed and treated as early as possible. The aim of the operation is to repair or reconstruct the injured vessel.