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  • Title: [Repair of venous trunk injuries without accompanied arterial injuries in extremities].
    Author: Mi K.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2005 Apr; 19(4):264-6. PubMed ID: 15921314.
    Abstract:
    OBJECTIVE: To research the mechanisms, diagnosis and repair method of venous trunk injuries without accompanied arterial injuries in extremities. METHODS: From January 1993 to June 2002, 12 cases of venous trunks injuries without accompanied arterial injuries in extremities were treated. All the patients were males, their ages ranged from 18 to 35 years. The interval between injury and operation was 30 minutes to 2 hours. The cause of injury was stab wound. Along with the antishock, the injured vessels were mended in 7 cases, end-to-end anastomosis was performed in 5 cases, and the operations were given in the patients with red wounds of the skull, chest or abdomen. RESULTS: One case died of severe cerebral trauma, the other 11 cases obtained primary healing. Doppler ultrasonography showed that the blood vessels were patent. After a follow-up of 1-5 years (2 years and 4 months on average), 8 cases recovered the function and circulation of extremities; and 3 cases accompanied with red injuries of nerves recovered the circulation of extremities, but did not recover the function with sensory disability and dyskinesia. CONCLUSION: Emergent hemostasis, antishock, repair of the injured vessels as soon as possible and treatment of associated injuries are important measures to save patients' life in treating venous trunk injuries without accompanied arterial injuries in extremities.
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