摘要
为了探讨创伤性动静脉瘘（ＴＡＶＦ）的诊断和治疗，回顾性地分析了１９５９～１９９７年间住院治疗的１６例ＴＡＶＦ病人。并结合文献对该病的病因、发生部位、诊断、治疗及预防进行了讨论。结果显示：①病因有锐器伤１２例（７５．０％），医源性损伤及钝性伤各２例（１２．５％）；②部位：下肢（６２．５％）多于上肢（３７．５％）；③常见临床表现有患肢肿胀、疼痛、杂音、震颤、皮温增高及浅表静脉曲张；④手术治疗的１５例，近期疗效优良率８３．３％。作者认为：ＴＡＶＦ最常见的原因是锐器穿透伤；主要发生部位在下肢的股动静脉和动静脉；根据临床表现多可建立诊断；局部感染是导致手术失败的主要因素；
To explor the diagnosis and treatment of the traumatic arteriovenous fistula (TAVF), we analysed 16 patients with TAVF who admited to Xiangya Hospital from 1959 to 1997 retrospectively. In this paper, the causes of disease, site of lesion, diagnosis, treatment and prevention about TAVF were discussed. The results showed that: ① there were 12 cases of sharp instrument trauma (75.0%), 2 cases of iatrogenic or blunt trauma (12.5%), respectively; ② TAVF in lower limb (62.5%) were more than those in upper limb (37.5%); ③ the common clinic findings were the swelling, pain, murmur, thrill, elevation of skin tempreture and gross venous dilatation in the wounded limb; ④ 15 of 16 cases were operated, the rate of excellent and good were 83.3%. The authors hold that the most common cause is penetrating trauma; the main site of lesion is in the femoral and popliteal arteriovein; according to the clinic findings, the diagnosis can be made easier; the local infection is the main factor of the operative failure; the correct management of the wound after trauma is the key of preventing TAVF.
出处
《中国普通外科杂志》
CAS
CSCD
1998年第2期94-97,共4页
China Journal of General Surgery
关键词
创伤
动静脉瘘
肢体
诊断
外科手术
病因
Wounds and injuries Arteriovenous fistula Extremities Diagnosis,surgical Surgery,operative
