Treatment of Traumatic Vascular Injury / 대한흉부외과학회지

ABSTRACT

BACKGROUND: Vascular injury has been increased with popular outside activities. However there are only a few studies for vascular trauma. We intended to find out the relationships between the vascular trauma and its prognosis. MATERIAL AND METHOD: Forty-four patients were diagnosed and operated on for vascular injury in the Gyeongsang National University Hospital from 1992 to 1999. We reviewed their chart and analysed their data retrospectively. We studied te causes, treatments, and prognoses of traumatic vascular injury. RESULT: The transfer time between accident place and emergency department was mean 3.5 hour, and the operation preparing time was 8.8 hours. Five cases required amputation of extremity. All amputation cases were combined with communited bony fractures. Thirty-eight cases had combined other injuries, and almost combined injuries were muscular and neurological damages. CONCLUSION: The optimal treatment plan for vascular trauma was prompt diagnosis and quick management. It may decrease amputation rate and post-traumatic complications. Therefore we must be carefully evaluated the multiple traumatic patients for early diagnosis of vascular injury and operate quickly in emergency status.