急性肢体动脉缺血42例治疗体会  

Experience of treatment for acute limb ischemia:a report of 42 cases

作　　者：夏永立 苗景玉 

机构地区：[1]河南省洛阳市第三人民医院,471002

出　　处：《中国医学创新》2012年第1期128-129,共2页Medical Innovation of China

摘　　要：目的探讨急性肢体动脉缺血的临床治疗。方法回顾性分析本院2008年3月～2011年5月收治的42例急性肢体动脉缺血患者的临床资料。30例动脉栓塞急诊行动脉切开Fogarty导管取栓术,11例动脉硬化闭塞症合并血栓形成和1例主动脉夹层行手术联合介入治疗。结果术后肢体存活39例,并发骨筋膜室综合征5例,截肢3例,死亡2例,死亡原因为急性心肌梗死和脑梗死。结论早期诊断、及时选择合理的手术方案和围手术期治疗是降低病死率,预防截肢的关键。Objective To study the clinical treatment of acute limb ischemia, Methods Retrospective analyzed the clinical data of 42 cases with acute limb ischemia in our hospital from March 2008 to May 2011. Thirty cases with arterial embolism were treated by arteriotomy and embolectomy with Fogarty catheter, 11 cases of arterial thrombosis with arteriosclerosis obliterans and 1 case aortic dissection were treated by surgical and/or interventional treatments. Results There were 39 embolized limbs saved, 5 cases had osteofascial compartment syndrome,3 cases were amputated and 2 cases died of acute myocardial infarction and cerebral embolism. Conclusion Early diagnosis, timely choosing the reasonable operation and perioperation treatment is the key to decrease mortality and amputation rate.

关 键 词：急性肢体动脉缺血 动脉栓塞 动脉血栓形成 外科治疗 

分 类 号：R654.3[医药卫生—外科学]