急性腹主动脉骑跨栓塞早期诊断及手术治疗  

Experience in Diagnosis and Treatment of Acute Aortic Saddle Embolism

作　　者：冯超[1] 尹乐平[1] 顾毅[1] 刘彤[1] 

机构地区：[1]四川省人民医院外四科,四川610072

出　　处：《中国伤残医学》2012年第2期14-15,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨急性腹主动脉骑跨栓塞的诊断和治疗方法。方法:总结和分析6例腹主动脉骑跨栓塞治疗的临床资料,所有的患者均采用双侧股动脉切开Fogarty导管取栓治疗,其中4例合并肾功能不全者,辅以床边持续性肾脏透析治疗。结果:5例治愈,1例术后仍发生以急性肾能衰竭为首发器官衰竭的多器官功能不全综合征ODS)而死亡。结论:早期诊断、早期手术取栓治疗,合并肾功能不全者,持续性肾脏透析治疗可明显提高腹主动脉骑跨栓塞的治愈率、降低死亡率、致残率。Objective： To investigate the diagnosis and treatment of acute abdominal aorta saddle embolism.Methods： Clinical data of 6 cases of acute abdominal aorta saddle embolism were reviewed and analyzed.These patients were subjected to bilateral femoral Fogarty catheter thrombolectomy. In 4 casescom plicated with renal in adequacy,continuous renal replacement therapy （CRRT） during operation was given. Results： 5 ncases were cured,and one patient died of renal metabolism syndrome after amputation.Conclusion： Early diagnosis,op2eration,CRRT during operation in the patients complicated with renal in adequacy can obviously approve the healing rate and lower the mortality and the disability rate of abdominal aorta saddle embolism.

关 键 词：腹主动脉骑跨栓塞 血管外科手术 持续肾脏透析治疗 

分 类 号：R656[医药卫生—外科学]