在ICU患者的血管损伤的管理:KZN的经验
V C Ntola1, T C Hardcastle2, N M Nkwanyana3
1Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.
Injury
|February 9, 2024
概括
血管创伤管理策略因血管类型而异. 动脉损伤通常使用开放式修复或内血管干预,而静脉损伤主要经历开放式绑定.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 血管损伤管理对于预防死亡和截肢至关重要.
- 现代方法已经从绑定转向初级修复,大大降低了截肢率.
研究的目的:
- 分析多创伤患者血管创伤的管理策略.
- 为了比较动脉和静脉损伤的开放式和内血管干预.
主要方法:
- 从创伤登记处收集回顾性和前性数据 (2013-2022年).
- 在需要ICU的多创伤患者中分析了154种动脉和39种静脉损伤.
- 数据包括伤害类型,机制,管理和结果.
主要成果:
- 动脉损伤:50%的开放性修复,23%的内血管干预.
- 静脉损伤:51%是开放式绑定,31%非手术管理.
- 大动脉损伤显示出高的内血管使用率 (83% TEVAR).
结论:
- 血管创伤的管理选择取决于受伤的特定血管.
- 在这个群体中,开放式绑定仍然是大多数静脉损伤的主要治疗方法.
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