巴基斯坦一家三级医院孤立性血管创伤后6至12小时患者的预后

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI:10.47391/JPMA.21033

Ahmed Siddique Ammar, Syed Asghar Naqi, Affifa Liaquat, Azwa Munim Janjua, Adeena Syed, Syeda Ifrah Ali

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引用次数: 0

摘要

目的：评价孤立性血管损伤后6 ~ 12小时出现血管损伤的患者的预后。方法：分析性横断面研究于2020年7月1日至2022年6月30日在巴基斯坦拉合尔梅奥医院东外科病房进行，包括年龄在bb0 - 13岁、血管损伤后6-12小时出现孤立性血管损伤的连续患者，男女不限。手术包括结扎、端到端修复和损伤血管逆行静脉移植。结果包括截肢原因和死亡率。数据采用SPSS 26进行分析。结果：82例患者中，男性61例（74.03%），女性21例（25.06%）。总平均年龄33±5.41岁。股动脉损伤54例（65.85%），肱动脉损伤28例（34.14%）。结扎血管35例（42.68%）。死亡15例（18.29%），截肢29例（35.36%），血管修复成功出院38例（46.34%）。结论：在孤立性血管创伤后6-12小时到三级医疗机构急诊科就诊的患者中，结扎股动脉或肱动脉是一种安全且挽救生命的手术。

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Outcome of patients presenting 6 to 12 hours after isolated vascular trauma in a tertiary care hospital of Pakistan.

Objective: To assess the outcome of vascular injuries in patients presenting 6-12 hours after isolated vascular trauma.

Methods: The analytical cross-sectional study was conducted at East Surgical Ward of Mayo Hospital, Lahore, Pakistan, from July 1, 2020, to June 30, 2022 and comprised consecutive patients of either gender aged >13 years with isolated vascular trauma presenting 6-12 hours after vascular injury. Operative procedures included ligation, end-to-end repair and reverse venous graft of the injured vessels. Outcomes, including cause of amputation and mortality, were noted. Data was analysed using SPSS 26.

Results: Of the 82 patients, 61(74.03%) were males and 21(25.06%) were females. The overall mean age was 33±5.41 years. Femoral artery was damaged more 54(65.85%) compared to brachial artery 28(34.14%) in all modes of injuries. Ligation of vessel was done in 35(42.68%) cases. Mortality was the outcome in 15(18.29%) patients, amputation in 29(35.36%) and discharge after successful vascular repair 38(46.34%).

Conclusion: Ligation of the femoral or brachial artery was found to be a safe and lifesaving procedure in patients presenting 6-12 hours after isolated vascular trauma to the emergency department in a tertiary care setting.

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.