摘要
目的探讨改良包扎术在毒品注射所致股动脉假性动脉瘤抢救中的应用价值。 方法2018年1月至2019年3月对我院收治的15例吸毒所致破裂性股动脉瘤患者先采用改良包扎术进行抢救,观察患肢包扎前后皮温、皮肤颜色、肿胀情况,观察其对动脉供血及静脉回流的影响,记录包扎后至术前重复包扎次数、渗血次数、血红蛋白变化来判断其稳定性。结果所有患者包扎后都能顺利完成术前准备,其中8例行股动脉假性动脉瘤切除+髂股动脉人工血管旁路术,1例因瘤体巨大且局部感染严重行股动脉假性动脉瘤切除+髂股动脉结扎术,4例行覆膜支架腔内隔绝手术,2例行股动脉修补术;无改急诊手术患者;无肢体坏死患者。无改急诊手术患者,亦无肢体坏死患者。结论在毒品注射所致股动脉假性动脉瘤患者的抢救中,改良包扎术是一种高效、安全的方法,且并发症少,可作为抢救治疗的首选包扎方法。
Objective To explore the value of a modified bandage method for the rescue of femoral artery pseudoaneurysm in drug abusers.Methods From January 2018 to March 2019,15 patients with ruptured femoral aneurysm caused by drug abuse were treated in our hospital.They were rescued with a modified bandage method before operation.It was observed of the changes of skin temperature,skin color and swelling of the affected limb before and after the bandage.And the times of repeated bandage,frequency of blood oozing and hemoglobin concentration changes before and after the modified bandage was recorded to judge its stability.Results All the patients were rescued by the modified bandage so as to have enough time to successfully complete the preoperative examination and the preparation for the operation.There were 8 patients underwent femoral artery pseudoaneurysm resection plus iliac-femoral artery bypass grafting,1 patient of femoral artery pseudoaneurysm resection plus iliofemoral artery ligation for large aneurysm and severe local infection,4 of covered stent endovascular exclusion,and 2 of femoral artery repair.No patient underwent emergency surgery and no patient had limb necrosis.Conclusion The modified bandage procedure is an effective and safe method for the treatment of femoral artery pseudoaneurysm caused by drug injection with few complications.
作者
陈克勤
彭汉武
李可
贺超贵
CHEN Ke-qin;PENG Han-wu;LI Ke;HE Chao-gui(Department of Vascular Surgery,the First Hospital of Changsha,Changsha 410005,Hunan,China)
出处
《中国现代手术学杂志》
2019年第4期281-284,共4页
Chinese Journal of Modern Operative Surgery
基金
长沙市科技计划项目(编号:kq1801132)
关键词
假性动脉瘤
股动脉
包扎术
pseudoaneurysm
femoral artery
bandage
