“5.12”特大地震血管损伤患者的筛选及治疗对策

详细信息 本馆镜像全文    |  推荐本文 | | 获取馆网全文

英文篇名：Diagnosis and treatment of vascular diseases in Wenchuan earthquake 中文刊名：湖南中医药大学学报 英文刊名：Journal of Traditional Chinese Medicine University of Hunan 作者：蒋岚杉 ; 崔驰 ; 鲜于剑波 ; 张海峰 ; 郭道宁 ; 魏福生 英文作者：JIANG Lan-san ; CUI Chi ; XIAN Yu-jianbo ; ZHANG Hai-feng ; GUO Dao-ning ; WEI Fu-sheng(Department of vascular surgery ; central hospital of Mianyang ; Sichuan ; 621000 ; China) 中文关键词：地震 ; 血管疾病 ; 筛查 ; 治疗 英文关键词：earthquakes ; vascular diseases ; screening ; therapy 出版日期：2010-02-25 机构：绵阳市中心医院血管外科; 年：2010 期：02 出版单位：湖南中医药大学学报

摘要

目的探讨特大地震致血管损伤患者的筛选及治疗救助意义。方法运用体检及彩超检查,筛选出血管损伤患者225例,并根据病情适当选用抗凝、溶栓、祛聚等方法治疗。结果筛选的225例血管伤患者中,因动脉损伤导致截肢36例,截肢率占动脉损伤的17.39%。对于挤压综合征合并血管损伤的患者,截肢率占2.5%。2例假性动脉瘤患者手术后康复出院。18例静脉血栓患者在治疗5 d～30 d后,肢体肿胀消退出院。结论血管损伤是地震伤中常见疾病,血管损伤的早发现、早诊断可为患者赢得宝贵的诊疗时间和很好的治疗效果。
Objective Discussion earthquake in the significance of diagnosis and treatment of vascular diseases.Mothods Through physical examination and ultrasonography found 225 cases of vascular disease in all patients.And treatment including the anticoagulant treatment,thrombolysis,eliminate the platelet aggregation.Results As a result of arterial injury led to the amputation of 36 patients,the amputation rate of 17.39%.For the combined squeeze patients with vascular injury,the amputation rate of 2.5%.Two pseudoaneurysm and 18 patients of phlebothrombosis are discharged from hospital after surgery.Conclusion Earthquake often lead to vascular disease.Early detection and treatment,for patients to win valuable time and good medical treatment.

引文

[1]张海峰,王羽,卫云峰,等.超声在“5.12”汶川大地震伤员中的应用价值[J].中华超声影像学杂志,2008,17(9):796-798.
    [2]董国祥.下肢深静脉血栓形成的治疗[J].中华医学杂志,2004,84(20):1 759-1 760.
    [3]Goldhaber SZ.Low intensity warfarin anticoagulation is safe and efec-tive as a long-term venous thromboembolism prevention strategy[J].Thromb Thrombolysis,2006,21(1):51-52.