...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Sao Paulo Medical Journal >Surgical treatment of noniatrogenic trauma of the femoral arteries
【24h】

Surgical treatment of noniatrogenic trauma of the femoral arteries

机译：股动脉非医源性创伤的外科治疗

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Trauma to the femoral arteries corresponds to 30 percent of all arterial traumas. The authors reviewed 74 patients with noniatrogenic trauma of the femoral arteries treated from January 1991 to December 1993. Ages ranged from 11 to 50 years, with a mean of 24. Seventy-one patients were male and three female. Fifty-two patients (70.2 percent) were white, 20 (27 percent) were black and two (2.8 percent) were Asian. Trauma due to firearms had the highest incidence, with 61 cases (82.4 percent). Absence of pulse was the most frequent clinical symptom (62.5 percent). Severe ischemia, with risk of loss of limb, was found in 66.2 percent of the cases. The superficial femoral artery was impaired in 77 percent of the cases. A preoperative arteriography was performed on only five patients, victims of multiple penetrating trauma or an asymptomatic penetrating wound along a vessel passage. In six cases, arterial and venous ligature was the chosen procedure. In three cases, a primary arterial anantomosis was performed. Simple arterriorraphy was feasible in one patient. In 64 of the patients, a venous graft was undertaken using a segment of the inverted great saphenous vein withdrawn from the other lower limb. Fasciotomoy was used in 32 patients (43.2 percent), all of whom exhibited pasting of the lower limb muscles at admission. One patient died during the immediate postoperative period as the result of multiple organ failure caused by polytraumatism. Preservation of the limb was attained in 72 patients (97.3 percent) Severe, previously-incurred ischemia was responsible for the only two amputations, aggravated by an exceedingly long delay between the time of injury and surgery. One of these patients, in addition to severe ischemia, had extensive injuries to the soft tissues. We conclude that trauma of the femoral arteries, attended while the limb still maintains its vitality, has a positive clinical outcome with a high rate of limb preservation. Mortality usually results from injury to other organs.
机译：股动脉外伤占所有动脉外伤的30％。作者回顾了1991年1月至1993年12月治疗的74例股骨动脉非医源性创伤患者。年龄从11至50岁不等，平均为24岁。男71例，女3例。 52例（70.2％）为白人，20例（27％）为黑人，2例（2.8％）为亚裔。枪支外伤发生率最高，为61例（82.4％）。缺乏脉搏是最常见的临床症状（62.5％）。在66.2％的病例中发现了严重的缺血，有肢体丢失的风险。 77％的病例股浅动脉受损。术前仅对五名患者进行了术前动脉造影，这些患者是多处穿透性创伤的受害者或沿血管通道无症状的穿透性伤口。在六种情况下，选择动脉和静脉结扎。在三例中，进行了原发性动脉血管吻合术。一名患者行简单动脉造影是可行的。在64名患者中，使用从另一下肢抽出的一段大隐静脉倒置进行了静脉移植。 Fasciotomoy用于32例患者（占43.2％），所有患者均在入院时表现出下肢肌肉的粘贴。一名患者在术后即刻因多创伤性多器官衰竭而死亡。保留肢体的患者达72例（97.3％），仅两次截肢是由先前发生的严重缺血引起的，这是由于受伤时间和手术之间的时间过长而加重的。这些患者之一，除了严重缺血外，还对软组织造成了广泛的伤害。我们得出的结论是，在肢体仍保持其生命力的同时发生的股动脉创伤具有积极的临床结果，且肢体保留率很高。死亡率通常是由对其他器官的伤害导致的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号