四肢主要动脉钝性损伤的伤情特点分析.docVIP

四肢主要动脉钝性损伤的伤情特点分析 郑灿镔 朱庆棠 顾立强 劳镇国 李平 李智勇 向剑平 戚剑 王洪刚 王东 秦本刚 刘小林 朱家恺 作者单位：中山大学附属第一医院显微创伤骨科 通讯作者：朱庆棠 通信地址：广州市中山二路58号 邮编510080 电话 Email：zhuqtgz@ 【摘要】目的 总结四肢主要动脉损伤的特点。。。of Blunt Major Arterial Injury in the Extremity ZHENG Can-bin, ZHU Qing-tang, GU Li-qiang, LAO Zhen-guo, LI Ping, LI Zhi-yong, XIANG Jian-ping, QI Jian, WANG Hong-gang, WANG Dong, QIN Ben-gang, LIU Xiao-lin, ZHU Jia-kai. Department of Microsurgery and Orthopaedic Trauma, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China Corresponding author: ZHU Qing-tang. E-mail:zhuqtgz@ Mobile:[Abstract] Objective To summarize the clinical features of blunt major arterial injury in the extremity so as to provide the basic evidences for developing specific management strategy. Methods The patients having major arterial injury in the extremity admitted to the First Affiliated Hospital of Sun Yat-sen University from January, 1998 to June, 2009 were included in this study. Based on the mechanism of injury, they were divided into Blunt Injury Group (BIG) and Penetrating Injury Group(PIG). The charts were reviewed and the information regarding demographics, clinical course and early outcomes was collected and analyzed. Result There were 61 cases in BIG. The mechanism of injury was dominant at road traffic injury(34 cases) and crush injury (22 cases), accounting for 91.80%. The lower limb injury accounted for 73.77%. The blunt major arterial injuries were usually associated with fractures, hemorrhagic shock and multiply injuries, accounting for 98.36%, 24.59% and 11.48% respectively. Vascular grafting was performed in 45.65% of total cases who underwent vascular reconstruction. The overall amputation rate was up to 49.18%. While the patients in PIG were mainly injured by cut, the most common injury site was the upper limb, without severe bone and soft tissue injury. Treatment was relative simple with few complications. Conclusion Blunt major arterial injur