【摘要】 <正> 股、腘动脉损伤是一个比较严重的问题,如损伤后结扎血管,多数将发生小腿坏疽(95～100%)。此类损伤在第二次世界大战期间,其截肢率为72.5%,六十年代改为血管修复法,截肢率有所下降,但仍高达20～50%。当下肢骨骼和血管复合伤时,其治疗更为困难,不少肢体虽作了功能的重建术,但仍有残废和严重的功能缺陷。我院自1967年以来共收治股、腘动脉损伤10例,现将经验与教训作一分析报道。更多还原

【Abstract】 Four cases of femoral artery and 6 cases of popliteal artery injury bad been operated on. 6 of these 10 patients whose injury had neighbouring fracture or dislocation of the knee. Besides reduction of the fracture and dislocation, the types of operation included simple suture repair of blood vessels, end to end anastomosis, autograft of great saphenous vein and replacement of artery prosthesis. The operative result was graded as excellent (5 cases), good(3 cases), fair(1 case and amputation (1 case). The early correct diagnosis and proper vascular repair are emphasised. The absence of pulsation of the pedal dorsal artery is a very important sign for diagnosis. Incisions to the deep fascia for decompression may be indicated for the severe swelling of the leg.更多还原