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在治疗越南儿童周围血管损伤的单一中心经验
Thang Ngoc Duong1, Quyen Tu Vu Doan2, Long Hoang Vo3
1Viet Duc University Hospital, Hanoi, Vietnam.
Annals of vascular diseases
|December 27, 2024
概括
儿科四肢血管创伤,主要是来自的伤害,需要专门的手术管理. 早期诊断和主要中心的专家护理改善了结果,降低了儿童的死亡率和截肢率.
科学领域:
- 儿科手术 儿科手术
- 血管外科 血管外科
- 创伤管理 创伤管理
背景情况:
- 与成人病例相比,儿科四肢血管创伤存在独特的挑战.
- 在这个群体中,管理策略和结果需要特别考虑增长和发展.
研究的目的:
- 报告医院的经验,在管理儿科四肢血管创伤.
- 分析主要创伤中心的管理策略和患者结果.
主要方法:
- 回顾18岁以下受手术的肢体血管损伤患者的回顾性图表审查.
- 从2021年5月到2023年2月收集的数据.
主要成果:
- 分析了46名儿童:34.8%的上肢受伤,65.2%的下肢受伤.
- 的创伤 (82.6%) 是主要的机制;73.9%的相关四肢受伤,包括14个开放骨折.
- 血管修复方法包括直接再血管化 (34.8%),福加蒂导管扩张 (28.3%),以及大沙静脉修复 (19.5%). 一名患者进行了二次截肢;死亡率为2.7%.
结论:
- 形创伤是儿科血管损伤的一个重大挑战.
- 血管外科医生必须在治疗规划中考虑儿科生长潜力.
- 专业中心经验丰富的外科医生及时诊断和治疗对于尽量减少不良结果至关重要.
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