目的總結(jié)下肢血管開放性損傷的臨床特點(diǎn),以提高其診斷和治療水平。方法回顧性分析我院1999~2001年收治的25例下肢血管開放性損傷患者的臨床表現(xiàn)、輔助檢查以及手術(shù)處理等特點(diǎn),討論下肢血管開放性損傷的診治。結(jié)果25例患者經(jīng)急診手術(shù)修補(bǔ)或重建血管,其中動(dòng)脈損傷18例,動(dòng)、靜脈聯(lián)合傷7例; 修復(fù)動(dòng)脈缺損時(shí)5例使用大隱靜脈,5例使用人造血管。24例痊愈(96%),1例術(shù)后40天血管閉塞并失去隨訪。結(jié)論下肢血管開放性損傷應(yīng)盡早明確診斷并行手術(shù)修補(bǔ)或重建血管,以降低死亡率及致殘率。
引用本文: 何春水,何延政,鐘武,曾宏,李華橋,曾偉. 下肢血管開放性損傷的診治(附25例報(bào)告). 中國普外基礎(chǔ)與臨床雜志, 2003, 10(3): 272-274. doi: 復(fù)制
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