由血管外科医生进行的创伤绕道证明了优秀的长期结果和肢体保存
Misak Harutyunyan1, Jeffrey C Hnath1, Xander Jacobson1
1Division of Vascular Surgery, Department of Surgery, Albany Medical Center Hospital, Albany, NY.
Journal of vascular surgery
|June 18, 2023
概括
在创伤患者的四肢再血管化显示出极好的四肢挽救和耐用性. 尽管在患者随访方面存在挑战,但绕道失败很少见,这表明血管创伤护理的成功结果.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 在创伤患者中,四肢再血管化的结果还未得到充分研究.
- 由于数据库的限制和患者群体特征,存在有限的数据.
研究的目的:
- 分析创伤患者上肢和下肢再血管化的长期结果.
- 评估20年来1级创伤中心的绕道结果和监视协议.
主要方法:
- 对单个血管组数据库的回顾性查询.
- 对接受四肢再血管化的创伤患者的分析 (2002-2022年).
- 包括人口统计数据,指示,手术细节,死亡率,发病率,修订,截肢和后续数据.
主要成果:
- 进行了223次重血管化 (161次在下肢,62次在上肢).
- 手术后死亡率为4.0% (9名患者),所有患者都是下肢患者. 在5.8% (13名患者) 发生重大截肢,所有患者都是下肢.
- 30天后的并发症包括绕道堵塞 (4.9%) 和伤口感染 (3.6%). 后期修订为8.7% (下) 和6.4% (上).
结论:
- 对创伤的四肢再血管化提供了出色的四肢救援和长期耐用性.
- 观察到肢体损失和绕道修改率较低.
- 长期监控合规性不佳需要调整协议,尽管出现的绕道故障很少见.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
01:27Peripheral Artery Disease III: Interprofessional Care
13
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
13