【摘要】 目的 :总结四肢主要动脉损伤的诊治经验。方法 :1989～ 2 0 0 0年 68例四肢主要动脉损伤患者 ,分别采用断端吻合、血管修补、自体静脉移植、残端结扎等方式修复损伤血管。结果 :随访 2～ 11年 ,62例肢体存活 ,6例截肢 ,2例出现轻度缺血性肌挛缩。结论 :早期诊断是肢体抢救成活的关键 ,损伤动脉应尽可能在 6～ 8h内进行修复 ,根据不同的损伤类型 ,分别采用不同的血管修复方法。积极治疗多发伤、及时处理并发症。更多还原

【Abstract】 Objective:To summarize the experience in diagnosis and treatment of main artery of limbs.Methods: Sixty-eight patients with main arterial trauma of limbs were included from 1989 to 2000 in this paper.The injured arteries were divided into three types,and were repaired by end-to-end anastomosis,arteri-oplasty,ligation,and venous graft.Results:All patients were followed up for 2～11 years.Traumatized limbs were survived with good function in 62 cases,and amputated in 6 cases.Two cases suffered from slight ischemia muscular contracture in the forearms.Conclustions:Monitoring the ischemia signs of trumatized limbs carefully is very important to the diagnosis of arterial trauma early.The main arterial trauma of limbs should be treated as soon as the diagnosis was made.If the ischemic time is longer than 8 hours,it will affect survival of limbs.The management of injured artery depends on the type of the injured artery.The treatment of complication is conducive to promotion of function of limbs.更多还原