[Repair of venous trunk injuries without accompanied arterial injuries in extremities].
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.


CONCLUSIONS
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.
Mi
Kun
K
The First Affiliated Hospital, Guangxi College of the Traditional Chinese Medicine, Nanning Guangxi, 530023, PR China. mk691900@sina.com
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005121:Extremities / Q000098:blood supply*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D014680:Veins / Q000293:injuries* / Q000601:surgery*; D014950:Wounds, Penetrating / Q000601:surgery*; D055815:Young Adult