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SM ISO690:2012 CASTRAVEŢ, Andrei, UNGUREANU, Adela, ŞTIRBU, Victoria, RAILEANU, Diana, CHIRIAC, Cristina, CIUBOTARU, Anatol. Vascular trauma. experience of the vascular surgery department of the clinical republican hospital. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 283. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Background. Vascular trauma represents approximately 2% of all trauma and 15-20% require urgent intervention. The lethality in the traumas of the main vessels comprises up to 15-25%, they justify the interest that must be given to these injuries. Objective of the study. Analysis of the vascular trauma treatment algorithm, based on the experience of the CRH Vascular Surgery Department. Material and Methods. During (1977-2020) the Vascular Surgery Department provided surgical assistance to 1242 patients with vascular trauma. Basic interventions - marginal suturing of the injured vessel or prosthesis with a saphenous graft. In case of destruction of the surrounding tissues, extraanatomical bypasses, the "open wound" method, were used. 3 patients were treated endovascularly. Results. Post interventional lethality consisted 3,2%. Amputation rate (in case of arterial trauma of the limbs) consisted 4,3%. Conclusion. The vascular trauma treatment algorithm is characterized by the efficient management of peripheral vascular trauma, the organization and observance of the rules for providing medical assistance. The main vectors are early diagnosis and establishment of optimal interventional tactics. |
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Cuvinte-cheie vascular trauma, open wound, extra anatomic bypass, traumatism vascular, plagă deschisă, bypass extraanatomic |
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