血管损伤:尼日利亚拉各斯一家三级医院的病因、表现和管理结果。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Ezekiel Olayiwola Ogunleye, Olugbenga Oluseyi Olusoji, Okezie Obasi Kanu
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引用次数: 0

摘要

血管损伤可导致出血性休克和远端肢体缺血,尤其是动脉损伤。这种危及生命的状态要求紧急评估和干预,以挽救生命和肢体。该疗法旨在恢复血液流动,并在黄金时段内补充流失的血液,稳定心血管血液动力学,避免不可逆的缺血性损伤。本研究的目的是分析我院血管损伤的临床概况、处理和结果。材料和方法:本回顾性研究时间为2015年1月至2021年12月。从每个参与者的医疗记录中提取感兴趣的信息。数据分析的结果以图表的形式呈现。结果:74例患者入组,年龄15 ~ 78岁,平均32.30±13.75岁。男女比例为3.6:1。最常见的原因是枪伤、道路交通事故和医源性伤害。损伤至出现的平均时间为9.85 h,血流恢复的平均时间为7.3 h。最常见的损伤动脉为股动脉,最常见的损伤静脉为下腔静脉。大多数病例进行了初级血管修复。截肢者占18.9%,肢体丧失生存能力。结论:血管损伤虽然相对罕见,但仍是一种具有挑战性和危及生命的疾病,主要发生在年轻成年男性中。紧急干预可防止肢体丧失和死亡。通过改善急诊医疗服务和在国家医院配备训练有素的人员、设备完善的血管中心,取得了良好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vascular injuries: Aetiology, presentation and management outcomes at a tertiary hospital in Lagos, Nigeria.

Vascular injuries lead to haemorrhagic shock and distal limb ischaemia, especially with an arterial injury. This life-threatening state mandates urgent evaluation and intervention to save life and limbs. The treatment aims to restore blood flow and replace lost blood within the golden hours, stabilising cardiovascular haemodynamics and averting irreversible ischaemic damage. The aim of this study was to analyse the clinical profile of vascular injuries, management and outcomes in our institution.

Materials and methods: This retrospective study covered the period from January 2015 to December 2021. Information of interest were extracted from the medical records of each participant. The results from the data analysis were presented in charts and tables.

Results: Seventy-four patients aged 15-78 years (mean 32.30 ± 13.75 years) were included in this study. The male-to-female ratio was 3.6:1. The most common causes were gunshot injury, road traffic accident and iatrogenic injuries. The mean duration from injury to presentation was 9.85 h and mean duration from presentation to restoration of flow was 7.3 h. The most common injured artery was the femoral artery, whereas the most common vein was inferior vena cava. Primary vascular repair was done in majority of the cases. Amputation was performed in 18.9% with loss of viability of the limb.

Conclusion: Vascular injury though relatively uncommon remains a challenging and life-threatening disease predominantly in young adult males. Urgent intervention prevents limb loss and mortality. Favourable outcome is accomplished by improving emergency healthcare delivery and well-equipped vascular centres with adequately trained personnel in the nation's hospitals.

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来源期刊
Nigerian Postgraduate Medical Journal
Nigerian Postgraduate Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
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52
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