Assessing the emergency situation for peripheral vascular wounds/trauma in Viet Duc Hospital from 2004 to 2006
- Author:
Uoc Huu Nguyen
;
Nghia Dinh Che
;
Hung Duc Duong
;
Hung Quoc Doan
;
Huu Cong Nguyen
;
Lu Huu Pham
;
Tien Anh Do
;
Thanh Ngoc Le
- Publication Type:Journal Article
- Keywords:
peripheral vascular wounds;
peripheral vascular trauma;
multiple traumas
- MeSH:
Blood Vessels/ injuries;
Emergencies;
- From:Journal of Surgery
2007;4(57):12-19
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: peripheral vascular wounds/trauma is a severe type of surgical emergency, the increasing rate due to the rapid increase of traffic, labor and living accidents. Subjectives and Method: retrospective study, all patients with peripheral vascular wounds/traumas (alone or combination in multiple trauma) were emergency operated at Viet Duc Hospital from January 2004 to June 2006. Results: A total of 310 patients with peripheral vascular injuries in the study, of which accounted for 62.3% of injury, trauma group accounted for 37.7%. The mean age of 30. In first aid, pressed tape accounted for high rate (71.5%). Rate of popliteal vascular trauma due to fractures around the knee accounted for 65.5%, the rate of brachial vascular trauma with fractures around the elbow was 50%. Rate of late diagnosis of arterial trauma was 14.6%, higher than the arterial wounds (2.6%). The rate of ultrasound for forelimbs - where vessels were many wounds, was lower than that for hindlimbs - where vessels were many traumas (44% vs 67.9%). For vascular wounds, more directly vascular connection and more intervention on veins, whereas, for arterial trauma, more vascular graft. Rate of complications was low (7.4%), with no deaths. Conclusions: Overall, the results of emergency surgery for peripheral vascular wounds/trauma were well. No cases was death from vascular lesions, rate of complications was low.
