96 patients with serious chest and abdomen early treatment of vascular injuries.docVIP

 PAGE \* MERGEFORMAT 15 96 patients with serious chest and abdomen early treatment of vascular injuries Of: Huang Xiankai, Zhanglian Yang, Yao Yuan Zhang, Wang Tao [Abstract] Objective To investigate serious chest and abdomen early diagnosis and treatment of vascular injury. Methods January 2000 ~ October 2008 a serious chest and abdomen were treated 96 cases of vascular injury, including 26 cases of emergency department arrival was when the performance of hemorrhagic shock, transthoracic or abdominal puncture out more blood was rushed to emergency surgery operating room diagnosis; 45 cases and 64-slice spiral CT angiography (CTA) diagnosed; 25 cases diagnosed by digital subtraction angiography .58 underwent surgical treatment, suture repair vascular injuries in 45 cases, 12 cases underwent preoperative angiography after balloon vessel occlusion; 13 cases of artificial blood vessel anastomosis, 3 of them because of injury and the line too much damage control, that is seriously damaged vascular shunt temporary intubation , recovery of patients in the ICU after surgery until after the general situation has improved again within 48 hours of vascular anastomosis .38 cases (pelvic retroperitoneal vascular injury 34 cases, the other 4 cases), arterial embolization. Results 85 cases of treatment success treatment success rate of 85.5%. 38 cases of serious complications, including 6 cases of sepsis, acute respiratory distress syndrome (ARDS) 9 cases of multiple organ dysfunction syndrome (MODS) 23 .11 deaths, including 9 cases within 12 hours after injury, death, mainly due to multiple organ damage and severe hemorrhagic shock; 2 cases of post-traumatic death of 8 days and 16 days, mainly due to sepsis and MODS. Conclusion chest and abdomen should be fast after vascular injury complete the inspection and diagnosis, emergency surgery vascular repair or anastomosis of the line, part of the basin of abdominal vascular injury and fractures of retroperitoneal vascula