急性四肢动脉栓塞的外科治疗  

Surgical Management of Acute Limb Arteriae Embolization

作　　者：桑宏飞[1] 李晓强[1] 钱爱民[1] 段鹏飞[1] 朱礼炜[1] 戎建杰[1] 

机构地区：[1]苏州大学附二医院血管外科,江苏苏州215004

出　　处：《解剖与临床》2005年第2期140-141,共2页Anatomy and Clinics

摘　　要：目的:探讨急性肢体动脉栓塞的手术治疗效果和术后并发症的防治方法。方法:采用Fogarty球囊导管取栓治疗23例29条急性动脉栓塞肢体。术后所有患者均行溶栓、抗凝治疗。结果:本组无死亡。术后肢体存活23条,截肢3例、截趾3例;骨筋膜室综合征切开减压6例;术后出现急性心衰2例,脑梗塞3例,精神症状4例。23例均痊愈出院。随访1～6个月,23条成活肢体及6条残肢血供良好,功能正常。结论:早期诊断、及时手术治疗和术后对重要脏器功能的保护,是提高手术疗效、降低截肢率和死亡率的关键。Objective:To discuss the surgical intervention and the prevention and management of the complieations after operation of acute limb arterial embolization.Methods:The clinical data of 29 limbs in 23 cases with acute arterial embolization were analysed retrospectively.Results:There was no death and 23 limbs surived after operation.Amputation was performed in 6 cases and fasciotomy in 6 cases;acute heart failure occurred in 2 cases,cerebral infarction in 3 cases and psychiatric symptom in 4 cases.All the cases recovered.Conclusion:Early diagnosis and immediate surgical intervention, together with preserving vital organs,are key to the improvemet of therapeutic effect and decrease of morbidity and mortality.

关 键 词：急性四肢动脉栓塞 外科治疗 Fogarty球囊 急性肢体动脉栓塞 骨筋膜室综合征 急性动脉栓塞 导管取栓治疗 术后并发症 防治方法 治疗效果 抗凝治疗 切开减压 急性心衰 精神症状 痊愈出院 功能正常 早期诊断 脏器功能 手术治疗 

分 类 号：R654.4[医药卫生—外科学] R543[医药卫生—临床医学]