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The treatment of patients with injury to the great arteries of the lower extremities.
Lemenev, V L; Mikhailov, I P; Isaev, G A.
Afiliação
  • Lemenev VL; N. V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia.
Angiol Sosud Khir ; 11(3): 108-14, 2005.
Article em En, Ru | MEDLINE | ID: mdl-16439956
ABSTRACT
This paper analyzes the results of the treatment of 92 patients with injury to the great arteries of the lower limbs, which accounted for 15.9% of the number of all patients with injury to the great vessels. As regards lower limb ischemia, the patients were distributed in the following way 15 (16%) patients had degree I, 27 (29%) degree IIA and 50 (55%) had degree IIB-IIIA ischemia (according to the classification of acute ischemia by I. I. Zatevakhin). All casualties with arterial trauma of the lower limbs were operated on. In the postoperative period, the patients were administered conservative therapy using anticoagulants, spasmolytics, and antiplatelet agents. Intraarterial infusion therapy, detoxification techniques and HBO therapy were applied. Good and satisfactory results were obtained in 78 (80.5%) patients; amputations were performed in 10 (10.8%) patients. The lethality constituted 8.7% (n=8). The authors hold that early hospitalization to the multi-discipline continuous medical institutions forms the basis for refinement of the treatment results in patients with injury to the great arteries of the lower limbs.
Assuntos
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Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Vasculares / Artéria Femoral / Veia Femoral / Isquemia / Perna (Membro) / Traumatismos da Perna Idioma: En / Ru Ano de publicação: 2005 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Vasculares / Artéria Femoral / Veia Femoral / Isquemia / Perna (Membro) / Traumatismos da Perna Idioma: En / Ru Ano de publicação: 2005 Tipo de documento: Article