155 vascular injuries: a retrospective study in Kuwait, 1992-2000.

Sami Asfar, Jassim Al-Ali, Hussein Safar, Marzouk Al-Bader, Emad Farid, Ahmad Ali, Jalal Kansou
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引用次数: 11

Abstract

Objectives: To audit the management of vascular trauma in Kuwait, 1992-2000.

Design: Retrospective open study.

Setting: Vascular surgery unit, teaching hospital, Kuwait.

Subjects: 155 patients with vascular injuries, most of which (n = 118) involved the extremities. 21 had neck injuries, 10 abdominal, and 6 chest.

Intervention: Revascularisation usually using the long saphenous vein in addition to direct repair or end-to-end anastomosis.

Main outcome: Morbidity (amputation) and mortality.

Results: Four lower limb grafts failed, two of which (2/69, 3%) required amputation. Overall, four patients died (3%), one of pulmonary embolism and 3 of severe injuries to major abdominal vessels. 3/10 patients with abdominal vascular trauma died. Mean (SD) follow up period was 4.4 (2) years.

Conclusions: Civilian violence has increased in Kuwait. Vascular trauma to abdominal vessels is associated with high mortality. Autogenous saphenous vein forms an excellent conduit for revascularisation.

1992-2000年科威特155例血管损伤回顾性研究
目的:回顾1992-2000年科威特血管创伤的处理情况。设计:回顾性开放研究。地点:科威特教学医院血管外科。研究对象:155例血管损伤患者,其中大部分(118例)累及四肢。21人颈部受伤,10人腹部受伤,6人胸部受伤。干预措施:除直接修复或端到端吻合外,通常采用长隐静脉进行血管重建。主要结局:发病率(截肢)和死亡率。结果:4例下肢移植失败,2例(2/ 69.3%)需要截肢。总体而言,4名患者死亡(3%),1名死于肺栓塞,3名死于腹部大血管严重损伤。3/10腹部血管损伤患者死亡。平均(SD)随访时间为4.4(2)年。结论:科威特的平民暴力有所增加。腹部血管损伤与高死亡率相关。自体隐静脉为血管重建提供了良好的导管。
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