Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   SPRING 2003 , Volume 8 , Number 1 (31); Page(s) 65 To 68.
 
Paper: 

EVALUATION OF PATIENTS WITH VASCULAR TRAUMA

 
 
Author(s):  GHODDUSI I., VAZINDEL F., MARASHI A.
 
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Abstract: 

Background: In the vascular trauma, as others definite diagnosis and treatment are essential in order to again perfect results. Most of these patients are in urgent situation due to bleeding or other organ injury. For these patients, the surgeon must be concerned with basic principles of management of traumatic patients (A,B,C) as well as rapid control of hemorrhage. The purpose of this prospective study was to determine the epidemiologic and etiologic factors of vascular injuries in patients with vascular trauma admitted to Taleghani hospital during a 3-year period, 1977-2000.

Materials and methods: All of the patients with arterial injuries or arterial vein as well as other organ injuries were included.
Results: During the study period, 157 patients were admitted with vascular trauma. The mean age was 28.5 year and male to female ratio was 7 to 1. The most frequent type was penetrating trauma (63.69%) and the most frequent site of involvement was lower extremities (56%). In 15 cases, bone fracture was also present. Neurovascular disorders were as follows: Pulse deficit 71.4%, sensitivity deficit 33.1%, motor deficit 3.6%, and nerve cutting off 14% For treatment, 77 cases underwent interpositional graft, whereas the remaining were treated by patch angioplasty, primary closure and legations of vessels. The result of surgery was satisfactory in 88%. Unfortunately, 8 cases had died and amputation was carried out in 13 patients.
Conclusion: Iatrogenic and arterial trauma are common due to IV drug abusers. We suggest educational program with respect to the approaches to vascular injuries for general practitioners as well as other physicians who are actively involved in emergence department.

 
Keyword(s): VASULAR TRAUMA, ARTERAIL TRAUMA, VENOUS TRAUMA
 
References: 
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