THE TREATMENT OF PATIENTS WITH INJURY TO THE GREAT ARTERIES OF THE LOWER EXTREMITIES

V.L. Lemenev, I.P. Mikhailov, G.A. Isaev, N.V. Sklifosovsky
Republican Scientific Center of Cardiovascular and Thoracic Surgery,
Tajik State Medical University,
Dushanbe, Tajikistan

Research Institute of Emergency Medicine,Moscow, RussiaThis 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.

KEY WORDS: injury to limb arteries, limb ischemia.

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