摘要
目的探讨临时性血管分流术在肢体主要血管损伤中的应用及疗效。方法23例肢体主要血管损伤,其中肢体完全缺血15例。2例在6小时内、14例在6～8小时、7例在8～12小时时限内先后2次进行各约10分钟的临时性血管分流术。结果损伤血管良好修复,通畅率100%。所有肢体成活,无感染、肾衰并发症。小腿胫前肌大部分坏死1例,经扩创人工皮覆盖,换药1个月治愈。随访10～15个月,平均12个月,血管损伤的疗效评定标准:优10例,良10例,可3例,优良率87%。结论临时性血管分流术能最早提供缺血肢体有效血循环,是肢体主要血管损伤早期保肢治疗的一种良好方法,且操作简单,疗效可靠。
Objective To discuss the application and therapeutic effect of the provisional by-pass technique in patients with main blood vessel injury in limbs.Methods There were 23 patients with main blood vessel injury of limbs,including complete ischemia in 15 patients.Ten minutes provisional by-pass technique was carried out twice in succession in 2 patients within 6 hours,14 patients within 6-8 hours,7 patients within 8-12 hours.Results The fracture and dislocation were firmly fixed and injured blood vessel was repaired,with patency rate of 100%.All limbs survived,without complications such as infection,renal failure and so on.Massive tibial muscle necrosis was observed in 1 patient,healed well through debridement,artificial skin coverage,dressings changing.Bone union was achieved.The follow-up was 10-15 months,averaging 12 months.The curative effect standard about blood vessel injury indicated：10 patients were excellent,10 patients good,3 patients common,and the excellent and good rate was 87%.Conclusion The provisional by-pass technique can provide effective circulation as early as possible,acting as a convenient and effective method to cure main blood vessel injury in limbs.
出处
《创伤外科杂志》
2010年第3期238-240,共3页
Journal of Traumatic Surgery
关键词
血管损伤
血管分流术
缺血
血循环
blood vessel injury
vessel shunt
ischemia
blood circulation
