上肢血管损伤:病因,管理和结果
Nikolaos Stefanou1, Theodoros Mylonas1, Fragkiskos A Angelis1
1Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, University Hospital of Larissa, Larissa 41500, Greece.
World journal of critical care medicine
|June 10, 2024
概括
上肢的血管损伤,通常与肌肉骨创伤有关,需要专家管理. 手部外科医生可以通过解决组合损伤,改善患者的功能来实现更好的结果.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 整形外科手术 整形外科手术
背景情况:
- 上肢血管损伤罕见但严重,主要影响年轻人.
- 这些伤害通常与其他肌肉骨创伤一起发生,使管理复杂化,并可能导致严重的残疾.
- 有效的治疗是至关重要的,因为可能会产生重大社会经济后果.
研究的目的:
- 分析上肢血管损伤的损伤机制,管理策略和功能结果.
- 评估多学科方法在处理这些复杂案件中的有效性.
主要方法:
- 一项对115名在2003年至2022年期间接受治疗的动脉上肢损伤患者的回顾性研究.
- 排除标准包括严重创伤得分 (肢严重性得分≥7,伤害严重性得分≥20) 和先前存在的疾病.
- 患者平均年龄为33.7岁,平均随访时间为7.4年.
主要成果:
- 透创伤是最常见的受伤原因.
- 辐射动脉受影响最常见 (37.4%),其次是关动脉 (29.5%),关动脉 (12.1%),关动脉 (6%).
- 同时的肌肉骨损伤,特别是肌撕裂和神经损伤,在93%的病例中存在,报告了令人满意的功能结果.
结论:
- 上肢血管损伤虽然很少见,但经常伴随着严重的肌肉骨联合创伤.
- 为了获得最佳的结果,多学科的方法至关重要.
- 熟练的手术医生可以有效地管理联合血管和肌肉骨创伤,从而缩短手术时间和改善功能结果.
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