与战斗有关的四肢血管损伤的负压伤疗法:来自乌克兰战争的临床经验
Iurii I Sivash1,2, Boris M Koval3,4
1National Military Medical Clinical Center "Main Military Clinical Hospital", Kyiv, Ukraine. y.sivash@gmail.com.
Scandinavian journal of trauma, resuscitation and emergency medicine
|November 26, 2025
概括
负压伤疗法 (NPWT) 有效地管理与战斗相关的肢体血管损伤与大型软组织缺陷. 这种分阶段的方法可以保存四肢和血管重建,并显示出较低的并发症率.
科学领域:
- 军事手术是军事手术.
- 这是血管外科手术.
- 创伤护理的护理人员.
- 伤口愈合 伤口愈合
背景情况:
- 战斗中极端血管损伤由于广泛的软组织损失和污染而带来了重大挑战.
- 负压伤口治疗 (NPWT) 在治疗战斗血管损伤方面的有效性仍然被低估.
- 乌克兰冲突为评估NPWT在战场受伤的分阶段外科护理提供了一个设置.
研究的目的:
- 评估NPWT在治疗与战斗有关的严重肢体血管损伤方面的安全性和有效性.
- 评估NPWT在战场创伤中广泛软组织缺陷的分期手术护理中的作用.
- 分析与NPWT相关的并发症率,肢体保存和伤口关闭结果.
主要方法:
- 追溯对85名与战斗相关的四肢血管损伤的服务人员的回顾.
- 对69名接受软组织缺陷标准化双层NPWT协议 (连续-70至-80毫米) 的患者进行分析.
- 测量结果包括传染性并发症,出血,血栓,截肢率,伤口关闭方法和停留时间.
主要成果:
- 矿山爆炸伤害是最常见的原因 (71%).
- 并发症包括与侵蚀相关的出血 (13%),动脉血栓 (8.7%) 和感染 (5.8%).
- 2.9%的患者需要进行二次截肢,在医院死亡率为0%.
结论:
- 双层NPWT协议是安全和有效的,用于分阶段管理与广泛缺陷的战斗血管损伤.
- NPWT有助于保存血管重建和四肢,减少感染和截肢率.
- 建议进行进一步的多中心研究,以优化NPWT协议的战斗伤亡.
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