【摘要】 目的　总结下肢血管开放性损伤的临床特点 ,以提高其诊断和治疗水平。方法　回顾性分析我院 1999～2 0 0 1年收治的 2 5例下肢血管开放性损伤患者的临床表现、辅助检查以及手术处理等特点 ,讨论下肢血管开放性损伤的诊治。结果　 2 5例患者经急诊手术修补或重建血管 ,其中动脉损伤 18例 ,动、静脉联合伤 7例 ;修复动脉缺损时 5例使用大隐静脉 ,5例使用人造血管。 2 4例痊愈 ( 96% ) ,1例术后 40天血管闭塞并失去随访。结论　下肢血管开放性损伤应尽早明确诊断并行手术修补或重建血管 ,以降低死亡率及致残率。更多还原

【Abstract】 Objective To discuss the diagnosis, treatment and clinical characteristics of open vascular injuries in the lower extremities and summarize our experiences. Methods To review the records of patients sustained an open injuries to the lower extremities vessel between 1999 and 2001 retrospectively. The clinical, operative findings and prognosis were collected and studied.Results All 25 patients received emergency surgical treatment to repair the vascular injuries. It included 18 with isolated arterial injuries and 7 with combined arteriovenous injuries. Saphenous vein grafts were placed in 5 patients and vascular prostheses were placed in 5 patients with arterial injuries.Twenty four patients were cured (96%), and 1 graft obstruction occurred (could not be contacted 40 days after operation). Conclusion Open vascular injuries in the lower extremities should be diagnosed and treated as early as possible. The aim of the operation is to repair or reconstruct the injured vessel and to lower the mortality and morbidity rate.更多还原