Periferik damar yaralanmaları
Amaç: Periferik vasküler travma ile basvuran hastaların etyoloji ve uygulanan tedavilerin irdelenmesi amaçlandı. Gereç ve Yöntem: Diyarbakır Devlet Hastanesi Kalp ve Damar Cerrahisi Kliniğinde 2006–2008 yılları arasında periferik arter yaralanması nedeniyle basvuran 69 olgu incelendi. Bulgular: Yaralanma nedenlerinin 60'ının (%87) kesici-delici alet yaralanması, yedisinin (%10) künt travma, ikisinin (%3) atesli silah yaralanması sonucu olduğu belirlendi. 53 (%74) olguda üst ekstremitede, 15 (%21) olguda ise alt ekstremitede arter yaralanması tespit edildi. Tedavi olarak, 34'ünde (%47) ucuca anastamoz, 28'inde (%39) lateral sutur, besinde (%7 ven grefti interpozisyonu, besinde (%7) ligasyon uygulandı. Sonuç: Periferik vaskuler yaralanmalarda erken müdahale, kan ve volum açığının kapatılması, sistemik antikoagulan kullanımı, nekrotik dokuların peroperatif ve postoperatif debritmanı morbidite ve mortaliteyi asağıya çekecektir.
Anahtar Kelimeler:
Femoral arter, femoral ven, Yaralanma
Peripheral vascular injuries
Aim: To determine etiology and management in patients with peripheral vascular trauma. Materials and Methods: From 2005 to 2006 with a diagnosis of peripheral artery injury, 69 cases admitted to Diyarbakır State Hospital Department of Cardiovascular surgery. Results: These cases have been respectively reviewed. The causes of injuries were; penetrating injuries in 60 cases (87%), blunt trauma in seven cases (10%) and gunshot injuries in two cases (3%). In 53 cases (74%) upper extremity, in 15 cases (21%) lower extremity was involved. As a surgical procedure, in 34 cases (47%) end-to-end anastomosis, in 28 cases (39%) lateral suture, in five cases (7%) venous graft interposition, in five cases (7%) ligation was performed. Conclusion: Early intervention, transfusion of fluid and blood, systemic anticoagulation, preoperative and postoperative detailed debridement decreased the morbidity and mortality rates.
Keywords:
Femoral artery, femoral vein, injury,
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- ISSN: 1300-2945
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1963
- Yayıncı: Cahfer GÜLOĞLU