peripheral vascular trauma report of ninety cases：九十例周围血管损伤病例报告.pdfVIP

Peripheral Vascular Trauma* Report of Ninety Cases G. DOYNE WILLIAMS, M.D., Little Rock, Arkarms Front the Deportment of Surgery, Cniversity Medical sometimes becomes impossibly complex. However, Center, Little Rock, Arkansas. since all repairs involved relatively young patients free of arteriosclerosis, a repair that persists for three RECONSTRUCTION of traumatically severed months should be safe. Table I summarizes the vari- major peripheral arteries assumes pri- ety and number of arteries repaired, the type of re- mary importance when survival of the injured pair, and a brief summary of the failures. limb is in balance. The absolute necessity for RESULTS repair of these injured arteries is underlined by the military surgical experiences of World Seventy-seven patients (85 per cent) re- Wars I and II in which simple ligation of these covered withotrt incident and maintained good vessels resulted in amputation of 45 per cent distal pulses. Ten patients (11 per cent) re- of limbs so treated [I 1. quired reoperation for graft or anastomosis .%ttempts at reconstruction of similar injured failures with good secondary result. Three vessels reduced amputations to 11 per cent in cases (4 per cent) required eventual amputation the latter portion of the