急性肢体动脉缺血126例治疗体会  

Treatment of acute limb ischemia:a report of 126 cases

作　　者：桑宏飞[1] 李晓强[1] 段鹏飞[1] 于小滨[1] 姜坤[1] 

机构地区：[1]苏州大学附属第二医院血管外科,江苏苏州215004

出　　处：《蚌埠医学院学报》2011年第3期245-247,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨急性肢体动脉缺血(acute limb ischemia,ALI)的治疗方法。方法:采用药物、手术、介入方法治疗ALT 126例,其中动脉栓塞84例,血栓形成42例。按Rutherford分期,Ⅰ期13例,Ⅱ期107例,Ⅲ期6例。Ⅰ期采用药物抗凝溶栓,Ⅱ期采用手术取栓联合术中造影及介入治疗,Ⅲ期截肢。结果:Ⅰ期患者症状均完全缓解,无病死及截肢。Ⅱ、Ⅲ期术后30天病死6例,术后肢体存活109例,截肢(趾)11例。120例均痊愈出院。随访1～72个月,11例截肢(趾)肢体残体血供良好;存活109例肢体运动、感觉功能正常。结论:早期诊断,及时有效治疗和术后对再灌注损伤并发症的纠正,是提高疗效、降低截肢率和病死率的关键。Objective：To discuss the management of acute limb ischemia. Methods：One hundred and twenty-six cases with acute limb ischemia that including 84 case of arterial embolism and 42 case of arterial thrombosis were analyzed.According to Rutherford criteria,there were 13 cases in category Ⅰ,107 cases in category Ⅱ and 6 cases in category Ⅲ,respectively.Cases in category Ⅰ were adopted medical treatment,while in category Ⅱ,cases were mainly adopted surgical and/or interventional treatments,and cases in Ⅲ were amputated. Results：There were 6 deaths in category Ⅱ and Ⅲ within 30 days after treatments.Eleven cases were amputated.One hundred and twenty cases were recovered.The follow-up period was from 1 to 72 months. Conclusions：Expeditious diagnosis and immediate effective treatment,combined by alleviating reperfusion injury are key points in improving therapeutic effect of acute limb ischemia and reduce morbidity and mortality.

关 键 词：动脉闭塞性疾病 动脉血栓形成 急性肢体缺血 取栓术 介入 

分 类 号：R543.5[医药卫生—心血管疾病]