急性肢体动脉栓塞外科治疗的疗效分析  

Analysis on curative effect of surgical treatment of acute four - limb arterial embolization

作　　者：崔文军[1] 王兵[1] 崔小兵[1] 

机构地区：[1]郑州大学第五附属医院普外一科,450052

出　　处：《中国实用医刊》2009年第20期19-19,24,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨各种因素对肢体动脉栓塞外科治疗疗效的影响。方法回顾性分析采用Fogarty导管取栓并术中尿激酶动脉内灌注，术后抗凝、溶栓等综合治疗救治的46例急l生肢体动脉栓塞患者的病例资料。结果综合治疗后35例治愈，3例术中发现合并动脉硬化闭塞未能取栓后截肢，6例术后降低平面截趾，2例风湿性心脏病患者术后1d死于心脏病，其中3例出现肾功能衰竭后治愈。结论动脉切开取栓术是治疗肢体动脉栓塞的有效方法，术前明确诊断，术中血栓取出的彻底性和操作技巧，术后合理处理及对手术并发症的有效控制是取得良好疗效的关键。Objective To investigate the comprehensive influence on the curative effect of surgical treatment of arterial embolization in the extremities. Methods Retrospective analysis was made on 46 cases with acute four - limb arterial embolization by an integrated treatment using thrombectomy with Fogarty catheter, intra - arterial infusion of urokinase during operation, and postoperative anticoagulation, thrombolytic therapy. Results Thirty - five cases were cured after comprehensive treatment, amputation was performed in 3 cases, and cut - off toe in 6 cases, 2 patients with rheumatic heart disease died of a heart attack in the next day after surgery. Conclusions The open artery embolectomy is an effective way to treat the limb arterial embolization. The clear preoperative diagnosis, intraoperative thrombosis completely removed and operating skills to deal with after a reasonable and effective control of postoperative complications is a good effect key.

关 键 词：动脉栓塞 外科治疗 疗效分析 

分 类 号：R65[医药卫生—外科学]