战斗前臂动脉损伤:一个案例系列
D Mialkovskyi1,2, Ihor Rusanov1,2, Iurii Mikheiev2,3
1Department of Vascular Surgery, Zaporizhzhia Military Hospital, Armed Forces of Ukraine, Zaporizhzhia, Zaporizka oblast 69002, Ukraine.
Military medicine
|June 9, 2025
概括
在战斗创伤后修复前臂动脉对于挽救四肢至关重要. 自主静脉移植是首选的方法,在大多数情况下取得了良好的结果.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 战斗医学 战斗医学
背景情况:
- 高能量的战斗创伤经常导致严重的前臂损伤,包括放射性和关动脉.
- 在这些情况下,广泛的软组织损失和受损的附带循环是常见的挑战.
研究的目的:
- 为了评估手术干预的有效性急性前臂动脉损伤造成的战斗创伤.
- 评估临床结果并确定这些复杂损伤的最佳治疗策略.
主要方法:
- 一个追溯的案例系列审查28名男性患者与战斗相关的前臂动脉损伤.
- 手术技术包括结,端到端解剖,以及自身静脉移植,选择性地使用临时变流.
- 临床结果和并发症率被仔细评估.
主要成果:
- 在28名患者中,26名患者成功挽救了手.
- 并发症包括一种导致截肢的移植血栓症和一种死亡病例.
- 60%的患者经历了有利的长期结果.
结论:
- 在双动脉损伤中,修复至少一个前臂动脉对于成功挽救四肢至关重要.
- 自生静脉移植是应对创伤相关前臂动脉损伤的推方法.
- 形四肢严重程度评分可能不是截肢的可靠预测指标; 临时的分流可以在适当的辅助下有益.
相关概念视频
Arteries of the Upper Limbs
2.1K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.1K
Arteries of Lower Limbs
4.3K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
4.3K
Arteries of the Head and Neck
3.0K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
3.0K
Flail Chest-II
543
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
543


