Brachial artery injury in AL-Diwaniya teaching Hospital

Usama Kadhum Kredi
2014 Qadisiya Medical Journal   unpublished
‫اﻟﺨﻼﺻﺔ‬ ‫اﻟﺸﺮاﯾﯿﻦ‬ ‫اﺻﺎﺑﺎت‬ ‫اﻛﺜﺮ‬ ‫ﻣﻦ‬ ‫اﻟﻌﻀﺪي‬ ‫اﻟﺸﺮﯾﺎن‬ ‫اﺻﺎﺑﺔ‬ ‫ان‬ ‫ﺷﯿﻮﻋﺎ‬. ‫او‬ ‫اﻟﻨﺎﻓﺬه‬ ‫اﻟﺠﺮوح‬ ‫ﻋﻦ‬ ‫ﺗﻨﺘﺞ‬ ‫ان‬ ‫ﯾﻤﻜﻦ‬ ‫واﻟﺘﻲ‬ ‫اﻟﺠﺮاﺣﻲ‬ ‫اﻟﺘﺪاﺧﻞ‬ ‫ﺣﺘﻰ‬ ‫او‬ ‫اﻟﺮاﺿﺔ‬. ‫دراﺳﺔ‬ ‫ﺗﻢ‬ ‫ﻟﻘﺪ‬ 80 ‫ﺗﺎرﯾﺦ‬ ‫ﻣﻦ‬ ‫اﻟﺘﻌﻠﯿﻤﻲ‬ ‫اﻟﺪﯾﻮاﻧﯿﺔ‬ ‫ﻣﺴﺘﺸﻔﻰ‬ ‫ﻓﻲ‬ ‫ﺣﺎﻟﺔ‬ 1 ‫ﻧﯿﺴﺎن‬ 2004 ‫وﻟﻐﺎﯾﺔ‬ 30 ‫ﻧﯿﺴﺎن‬ 2007 ‫وﻧﺘﺎﺋﺠﮫ‬ ‫ﻋﻼﺟﮭﺎ‬ ‫ﻋﻠﻰ‬ ‫اﻟﻀﻮء‬ ‫ﻟﺘﺴﻠﯿﻂ‬ ‫وذﻟﻚ‬. ‫ﻧﺴﺒﺔ‬ ‫ﺗﻤﺜﻞ‬ ‫اﻟﻨﺎري‬ ‫اﻟﻄﻠﻖ‬ ‫ﻣﻦ‬ ‫اﻟﻨﺎﺗﺠﺔ‬ ‫اﻻﺻﺎﺑﺎت‬ ‫ﻛﺎﻧﺖ‬ 50 % ‫اﻻﺻﺎﺑﺎت‬ ‫ﻣﻦ‬. ‫ﻧﺴﺒﺔ‬ ‫ﺗﻤﺜﻞ‬ ‫اﻟﺮاﺿﺔ‬ ‫واﻟﺠﺮوح‬ 27,5 % ‫ﻧﺴﺒﺔ‬ ‫ﺗﻤﺜﻞ‬ ‫اﻟﻄﻌﻨﯿﺔ‬
more » ... ﻤﺜﻞ‬ ‫اﻟﻄﻌﻨﯿﺔ‬ ‫واﻟﺠﺮوح‬ 16,25 % ‫ﻧﺴﺒﺔ‬ ‫ﯾﻤﺜﻞ‬ ‫اﻟﺠﺮاﺣﻲ‬ ‫اﻟﺘﺪاﺧﻞ‬ ‫اﻣﺎ‬ 5 % ‫اﻻﺻﺎﺑﺎت‬ ‫ﻣﻦ‬. ‫ﻣﻌﺎﻟﺠﺔ‬ ‫ﺗﻢ‬ ‫ﻟﻘﺪ‬ 60 % ‫و‬ ‫اﻟﻮرﯾﺪي‬ ‫اﻟﺘﺮﻗﯿﻊ‬ ‫ﺑﺎﺳﺘﺨﺪام‬ ‫اﻻﺻﺎﺑﺎت‬ ‫ﻣﻦ‬ 22,5 % ‫و‬ ‫اﻟﺸﺮﯾﺎﻧﻲ‬ ‫اﻟﺘﺮﻗﯿﻊ‬ ‫ﺑﺎﺳﺘﺨﺪام‬ 15 % ‫و‬ ‫ﻣﺒﺎﺷﺮة‬ ‫اﻟﺸﺮﯾﺎن‬ ‫ﺑﺨﯿﺎﻃﺔ‬ 2,5 % ‫اﻟﺸﺮﯾﺎن‬ ‫ﺑﻌﻘﺪ‬. ‫ﻛﺎﻧﺖ‬ ‫اﻟﻮﻓﯿﺎت‬ ‫ﻧﺴﺒﺔ‬ 5 % ‫اﻟﻌﻀﺪ‬ ‫اﻟﺸﺮﯾﺎن‬ ‫ﻻﺻﺎﺑﺔ‬ ‫اﻟﻤﺮاﻓﻘﺔ‬ ‫اﻻﺻﺎﺑﺎت‬ ‫ﻧﺘﯿﺠﺔ‬ ‫ي‬. ‫اﻟﻤﺮﯾﺾ‬ ‫اﻟﺘﺰام‬ ‫وﻋﺪم‬ ‫اﻟﺤﺮﻛﺔ‬ ‫ﻗﻠﺔ‬ ‫ﺑﺴﺒﺐ‬ ‫اﻟﻤﺮﯾﺾ‬ ‫ﻣﻨﮭﺎ‬ ‫ﯾﻌﺎﻧﻲ‬ ‫اﻟﺘﻲ‬ ‫اﻟﻤﺸﺎﻛﻞ‬ ‫اﻛﺜﺮ‬ ‫ﻣﻦ‬ ‫اﻟﻤﻔﺎﺻﻞ‬ ‫ﺗﺼﻠﺐ‬ ‫وﻛﺎن‬ ‫اﻟﻄﺒﯿﻌﻲ‬ ‫ﺑﺎﻟﻌﻼج‬. Abstract Aim: to focus on the management of brachial artery injury and it's sequelae .Methods: This is a prospective study of 80 patients admitted at Al-Diwaniya Teaching Hospital from 1 st April , 2004 to 30 th April, 2007. All patients were prepared for surgical intervention under general anesthesia and proceed for arterial repair. Results: The most common mechanism of injury was bullet injury (50%) , followed by blunt (27.5%) , stab wounds (16.25%) , iatrogenic factors (5%) and rarely by thermal injury .The technique of repair was by venous graft in the majority of cases (60%) and we needed arteriorraphy in (22.5%) , end to end anastomosis in (15%) and ligation in (2.5%) .Conclusion: Brachial artery injury occurs more in young male group and commonest cause is bullet. Diagnosis of brachial artery injury is done by physical examination. Commonest postoperative complications (late sequelae) due to nerve injuries and joint stiffness.