周圍靜脈損傷的治療(附33例報告)_《中國普外基礎與臨床雜志》

作者：

金立人 , 王學

華西醫科大學附屬第一醫院普外科(成都610041);

關鍵詞：

周圍靜脈損傷修復

視頻：

導出 下載 收藏 掃碼 引用

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對我院近30年收治的33例周圍靜脈損傷患者的資料進行了分析總結。作者認為，周圍靜脈損傷在血管損傷中占有一定的比例，絕大部分靜脈傷都伴有動脈傷；靜脈高壓是導致筋膜間綜合征的重要因素，因此結扎或不修復損傷的主干靜脈有可能導致筋膜間綜合征；持續性暗紅色的傷口出血、彌漫性皮下血腫、肢體腫脹及青紫是靜脈損傷的特點；多普勒超聲血管檢查及靜脈造影有助于診斷；對損傷靜脈宜行靜脈修復，其修復方法根據損傷類型而定，可作側面修補、補片移植、端端吻合或自體靜脈移植等；靜脈重建后早期可能有血栓形成，但這一并發癥可以預防。

引用本文： 金立人,王學. 周圍靜脈損傷的治療(附33例報告). 中國普外基礎與臨床雜志, 1998, 5(5): 286-287. doi: 復制

1.	Gasper MR. The management of injuries to major vein. Am J Surg, 1960; 100∶171.
2.	Hobson RW Ⅱ. Femoral venous treucma technique for surgical management and early results. Am J Surg, 1983; 146∶220.
3.	Synder WH Ⅲ. Vascular injuries near knee: an updated series and overview of the problem. Surg, 1982; 91∶502.
4.	Reeley SB. Arterial injuries below the knee： fiftyone patients with 82 injuries. J Trauma, 1983; 23∶285.
5.	Daren RB. A decade of lower extremity venaes trauma patency and outcome. Am J Surg, 1987; 154∶608.
6.	Meyer J. The early fate of venous repair following civilina vascular trauma: a clinical hemodynamic and veuographic assessment. Ann Surg, 1987; 206∶458.
7.	Hobson RW Ⅱ. Hemodynamics of canine femoral venous ligation: significance in combined arterial and venous injuries. Surg, 1973; 74∶824.
8.	Shah PH. Compartment syndrome in combined arterial and venous injuries of the lower extremity. Am J Surg, 1989; 158∶136.
9.	Thomas DD. Vascular injuries about the knee. Am Surg, 1989; 55∶370.

1. Gasper MR. The management of injuries to major vein. Am J Surg, 1960; 100∶171.
2. Hobson RW Ⅱ. Femoral venous treucma technique for surgical management and early results. Am J Surg, 1983; 146∶220.
3. Synder WH Ⅲ. Vascular injuries near knee: an updated series and overview of the problem. Surg, 1982; 91∶502.
4. Reeley SB. Arterial injuries below the knee： fiftyone patients with 82 injuries. J Trauma, 1983; 23∶285.
5. Daren RB. A decade of lower extremity venaes trauma patency and outcome. Am J Surg, 1987; 154∶608.
6. Meyer J. The early fate of venous repair following civilina vascular trauma: a clinical hemodynamic and veuographic assessment. Ann Surg, 1987; 206∶458.
7. Hobson RW Ⅱ. Hemodynamics of canine femoral venous ligation: significance in combined arterial and venous injuries. Surg, 1973; 74∶824.
8. Shah PH. Compartment syndrome in combined arterial and venous injuries of the lower extremity. Am J Surg, 1989; 158∶136.
9. Thomas DD. Vascular injuries about the knee. Am Surg, 1989; 55∶370.

《中國普外基礎與臨床雜志》

周圍靜脈損傷的治療(附33例報告)

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《中國普外基礎與臨床雜志》

周圍靜脈損傷的治療(附33例報告)

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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Content

摘要全文圖表視頻參考文獻施引文獻補充材料