一个与战斗有关的四肢血管损伤管理的单中心经验
Maksym Katelenets1, Victor Ginzburg1, Anatoly Leytsin1
1Department of vascular surgery, Soroka Medical Center, Be'er-Sheva, Israel.
Journal of vascular surgery
|August 20, 2025
概括
周围血管创伤在军事冲突中很常见, 最常见的是下肢受伤. 目前的治疗方法的截肢率很低,
科学领域:
- 血管外科
- 创伤手术
- 军事医学
背景情况:
- 与战斗有关的血管损伤是造成创伤的重要原因,
- 爆炸装置和导弹在现代冲突中增加了外周血管创伤的发生率.
研究的目的:
- 分析患者的人口结构,损伤模式,外科手术和外周血管创伤的结果.
- 评估当前治疗策略对战斗相关血管损伤的有效性.
主要方法:
- 对患有外周血管创伤的患者进行回顾性单中心分析.
- 数据收集包括人口统计,伤害类型,手术程序和患者的结果.
- 在2023年10月至2024年11月期间入院的41名患者中的43例血管损伤的分析.
主要成果:
- 在41名患者中,外周血管损伤占病例的88. 3% (创伤病例总数的4. 6%).
- 下肢受伤 (84. 2%) 是最常见的,经常涉及大腿和骨动脉.
- 在11个月的随访期内,血管修复的初级通透率达到了87. 1%,整体通透率达到了90%,主要截肢率很低 (5例).
结论:
- 目前的治疗策略在处理与战斗有关的外周血管创伤方面是有效的,导致截肢率较低.
- 下肢血管损伤通常需要移植重建.
- 跨学科的决策对于挽救肢体至关重要,
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