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Ann Ital Chir ; 76(2): 167-73, 2005.
Artigo em Italiano | MEDLINE | ID: mdl-16302656

RESUMO

OBJECTIVE: The Authors report on a series of 61 vascular traumas treated over a 7 years, separated in two groups. The first one includes 35 cases, that are street accidents, on the work and gunshot wounds. The second group includes 26 iatrogenic causes due to arterial catheterism. METHODS: All patients underwent ecocolor Doppler directly in the operating theatre and, when this diagnostic procedure was not enough, pre-operating angiography was used (10 cases of complex traumas of the lower limb). RESULTS: One death was reported far each groups (3.27%). In 55 cases (90.1%), limb savage was achieved. In the others 4 (6.93%) of the first group, limb demolition was necessary for different causes. In the first group, severe neurological sequelaes were observed in 2 cases and motor deficits caused by tendon lesions in 1 case. CONCLUSION: The good results obtained are the result of the short ischemic interval between the acute event and treatment, thanks to a multidisciplinary approach of a specific equipe, that is rapid as possible.


Assuntos
Traumatismos do Braço/cirurgia , Vasos Sanguíneos/lesões , Traumatismos da Perna/cirurgia , Procedimentos Cirúrgicos Vasculares , Acidentes de Trabalho , Acidentes de Trânsito , Adolescente , Adulto , Idoso , Traumatismos do Braço/diagnóstico , Traumatismos do Braço/etiologia , Criança , Feminino , Traumatismos do Antebraço/diagnóstico , Traumatismos do Antebraço/etiologia , Traumatismos do Antebraço/cirurgia , Humanos , Doença Iatrogênica , Traumatismos da Perna/diagnóstico , Traumatismos da Perna/etiologia , Salvamento de Membro , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Ultrassonografia Doppler em Cores , Ferimentos por Arma de Fogo/cirurgia
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