Treatment and analysis of 36 cases of major vascular injury in limbs

Abstract

Objective To investigate the experience in the treatment of major vascular injury in limbs.Methods Took active treatment in the 36 cases of patients with vascular injury in limbs.Repaired of vascular injury with angioplasty in 7 cases,end-to-end anastomosis in 14 cases,autogenous vein graft in 8 cases,free flaps graft in 4 cases according to different conditions,and then handled the associated injuries respectively.Results There were no death of 36 cases,although 4 cases underwent amputation.The major blood vessels were repaired in 33 cases,30 cases of successful(90.9％).According to assessment,limb function was good in 27 cases(75.0％).Conclusions For major vascular injuries in limbs,pre-hospital and hospital timely treatment is the prime for life-saving; CT angiography is an effective measure of diagnosis and guiding surgical exploration ; vascular repair should not restrict the duration of ischemia strictly,and early reconstruction of limb cycle is the key to save the limb; properly handle the combined injuries and complications can improve the clinical efficacy. Key words: Limb ; Major vascular injury ; Treatment ; CT Angiography ; Vascular repair