描述儿童主要血管创伤的当代管理:多年,双中心回顾性分析
Kevin J Lang1, Regan F Williams2, Hamda Almaazmi3
1Department of Surgery, Division of Trauma/Surgical Critical Care, University of Tennessee Health Science Center, Memphis, TN.
Journal of the American College of Surgeons
|January 20, 2026
概括
透性伤害是儿科血管创伤的主要原因,开放式重建仍然是标准. 肢体救援率很高,但肢体损失的预测因素包括到达时的冲击.
科学领域:
- 儿科血管外科 儿科血管外科
- 创伤外科手术是什么
- 血管的重建 血管的重建
背景情况:
- 儿科血管创伤导致显著的发病率,肢体损失和死亡率.
- 当代的伤害和管理模式需要更新的理解.
- 识别肢体损失和死亡的预测因素对于改善结果至关重要.
研究的目的:
- 描述当前的损伤和管理模式在儿科血管创伤.
- 在这个人群中确定肢体损失和死亡的预测因素.
- 分析儿童血管重建的结果.
主要方法:
- 对前性维护的数据库和创伤登记数据 (2019-2025) 的回顾性审查.
- 包括18岁以下因非阴性血管创伤而接受治疗的患者.
- 对人口统计数据,损伤特征,干预措施,结果和监测遵守情况的分析.
主要成果:
- 173名儿科患者接受了血管重建; 62%的患者遭受了穿透性伤害 (主要是枪伤).
- 开放的血管重建是常见的;内血管治疗在17%的病例中被使用.
- 主要截肢率为1.2%;与血管相关的死亡率为6.3%,主要是青少年在冲击中受到了干/结节损伤.
结论:
- 穿透伤害,特别是枪伤,是小儿血管创伤的主要原因.
- 开放的血管重建是主要的支柱,但内血管技术越来越多地被使用.
- 观察到高肢挽救和监视的遵守;不利结果的预测因素包括肢体受损,护理延迟和到达时的冲击.
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