摘要
目的 探讨创伤性股动脉栓塞保肢术后继发急性肾功能衰竭的临床预防与治疗。方法 对 33例外伤性股动脉栓塞术后继发急性肾功能衰竭病例进行临床分析。所有病例均进行急诊手术切开取栓、血管吻合术 ,其中予以筋膜减张性切开 2 7例。术后均予以抗感染、利尿合剂治疗 ,并及时清除坏死组织 ,其中行血液透析 2 3例。结果 外伤后手术时间 1～ 1 4h。住院时间7d～ 3个月 ,平均 4 3d。最终截肢 6例 ,死亡 2例 ,2 5例修复成功。结论 术前准确判断预后 ,正确选择手术方式、术中筋膜减张性切开、术后及时清除坏死组织。
Objective To discuss the treatment of traumatic embolism on femoral artery accompanied by renal failure.Methods Thirty three cases of traumatic femoral artery embolism accompanied by renal failure were retrospectively studied.They were all immediately operated to get off the embolism and inosculate the vessel.Among them decompressive fasciotomy were carried through in 27 cases.All cases were treated with infection resisting,diuresis extender and removing the necrosis tissue in time,23 cases were underwent hemodialysis.Results Surgical treatment was carried 1 to 14 hours after the injuries.Time in hospital varied from 7 days to 3 month with an average of 43 days.There were two death cases,6 cases amputation and 25 cases got successful reconstruction.Conclusion Nicety estimation of prognosis before the operation,right selection of the operation mode,postoperative treatment of diuresis extender and intime removing the necrosis tissue are essential diathesis in treatment of traumatic femoral embolism accompanied by renal failure.
出处
《骨与关节损伤杂志》
2004年第5期310-312,共3页
The Journal of Bone and Joint Injury
