【作者】 李杰；

【导师】 高涌；

【作者基本信息】 蚌埠医学院 ， 外科学（专业学位）， 2013， 硕士

【摘要】 目的:探讨周围动脉损伤的诊·断和治疗方法及其预后。方法:回顾性分析2010年2月至2012年6月诊治的32例周围动脉损伤患者的临床资料，有钝性伤22例、锐性伤7例、医源性损伤3例。治疗包括动脉侧壁修补2例、单纯结扎5例、端端吻合1例、自体静脉移植22例、覆膜支架植入2例。结果:本组治愈28例、截肢4例、死亡0例。治愈率87.50%，截肢率为12.50%，死亡率为0.0%。钝性伤截肢率为14.81%，锐性伤截肢率为0.0%。腘动脉损伤截肢率为50.00%。81.25%病例出院恢复良好，骨折病例经术后随访，除截肢病例外其他病例均恢复正常生活。结论:早期诊断，有效的控制出血和抗休克治疗，正确的手术方式,快速优质的血管重建，可减少病残和死亡。更多还原

【Abstract】 Objectives To study the diagnosis、treatment and prognosis of peripheral artery injury.Methods Retrospective analysis in2010February to2012in the first affiliated hospital of Bengbu Medical College。Of the32cases,22cases were with blunt injuries,7penetrating injuries,3iatrogenic injuries. Treatment includes the artery wall repairing in2, simple ligation in5, end-to-end anastomosis in1, interposition reverse saphenous vein graft in22, covered stent inplant in2.Results The cure28cases, amputations4cases, death0. Cure rate87.50%, the amputation rate was12.50%, and mortality was0%. The amputation rate of blunt injury was14.81%, penetrating injurie was0.0%. The amputation rate of popliteal artery injury was50.00%. The81.25%patients recovered when discharge, the paitents with fractures had been followed-up after postoperation, except the amputation cases, other cases returned to normal life.Conclusions Prompt diagnosis, effective control of bleeding and anti-shock treatment, the correct selection of the operation,prompt revascularization, early fasciectomy and appropriate management of compound wounds can decrease mortality and morbidity.更多还原