急性肢体缺血的治疗  

Treatment of acute limb ischemia

作　　者：李南[1] 陈幸生[1] 官云彪[1] 林梃[1] 

机构地区：[1]福建医科大学附属协和医院普通外科,福建福州350000

出　　处：《中国普通外科杂志》2009年第12期1249-1251,共3页China Journal of General Surgery

摘　　要：目的探讨急性肢体缺血的治疗方法。方法回顾性分析28例急性肢体缺血的临床资料。4例急性动脉栓塞者行急症取栓术,1例假性动脉瘤患者行假性动脉瘤切除及人工血管植入术,23例动脉闭塞症者采用取栓、血管旁路术、血管腔内治疗、截肢、单纯药物等治疗。结果5例急性动脉栓塞及假性动脉瘤患者治疗成功,23例动脉闭塞症患者中,5例（21.7%）治疗成功,12例（52.2%）好转,6例（26.1%）无效,4例截肢（占动脉闭塞疾病的17.4%）。无1例死亡。6～45个月随访中,另有5例截肢,死亡4例。结论急性肢体缺血患者需根据病情选择合理的治疗策略,包括取栓及血管重建等,以达到挽救肢体和生命的目的。Objective To investigate the management of acute limb ischemia.Methods The clinical data of 28 patients with acute limb ischemia were retrospectively analyzed.Four patients with arterial embolism underwent embolectomy.one patient with pseudoaneurysm underwent false aneurysm resection and revascularization with PTFE,23 patieuts wiht arterial occlusive disease were treated by multiple means such as embolectomy,bypass,primary amputation,endovascular interventions,and pharmacologic therapy（n=23）.Results The 5 patients with arterial embolism or pseudoaneurysm were all treated successfully.In the 23 patients with arterial occlusive disease,5（21.7%） were treated successfully,12（52.2%） were improved,and 6（26.1%） had ineffective treatment.No inpatient died,but 4 patients underwent amputation.During follow-up of 6-45 months,there were 4 deaths and other 5 amputations.Conclusions Proper intervention of patients with acute limb ischemia should be chosen according to clinical evaluation of the illness,and includes embolectomy and revascularization,to get limb or life salvage.

关 键 词：动脉闭塞性疾病/治疗 动脉闭塞性疾病/外科学 下肢 保肢 

分 类 号：R654.4[医药卫生—外科学]