四肢血管损伤的急诊诊断与治疗(附73例报告)

目的：提高对四肢血管损伤的诊断水平。方法：对14年间收治的四肢主要动脉损伤73例进行分析。结果：切割、刺伤55例，闭合性损伤18例。急诊明确诊断59例。47例行对端吻合或自体静脉移植，43例成功。漏诊3例，截肢6例。结论：对四肢血管伤应高度警惕．及时诊断。应用多参数监护仪进行伤肢脉搏波血氧测定有助于早期诊断动脉损伤，能动态监护肢体血供，使用方便，诊断准确。主张及时作探查及血管修复手术治疗。

ENERGENCY DIAGN0SIS AND TREATMENT OF LIMB' S INJURED BLOOD VESSELS: A STUDY OF 73 CASES

Aim: to improve diagnosis in limb's injured blood vessels. Method: to analyze the73 cases with injured main arteries of the limbs were treated in the past 14 years. Result: 55 of them suf-fered form cutting or stabbing, and 18 closed injuries. 59 patients had clear - cut diagnosis and 47 weretreated with end - to - end anastomosis or autotransplantation of veins (43 being successful ). There were3 missed diagnosis and 6 amputations. Chnclusion: it is necessary to be highly alert to blood vessel injuriesof the limbs, make timely diagnosis and give prompt treatment. Pules - wave blood oxygen determinationof the injured limbs can be made with a multi - puopse monitor so as to make early diagnosis of arterial in-jury and dynamic observation of the limb's blood supply. The device, accurate diagnosis, is convenientto use. We suggest timely exploration and prompt repair of injured blood vessels.