急性肢体动脉栓塞93例诊治分析  

Ninety three cases of acute limb artery embolism

作　　者：金毕[1] 赖传善[1] 田敏[1] 张寿熙[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院血管外科,武汉430022

出　　处：《临床外科杂志》2001年第2期76-77,共2页Journal of Clinical Surgery

摘　　要：目的　分析急性肢体动脉栓塞的原因、部位、诊断与治疗方法及术后并发症的预防和处理。方法　对 93例 98条急性肢体动脉栓塞者行手术治疗。结果　 2例手术后死亡 ,11例术后仍需截趾或截肢。结论　为防止误诊 ,对疑有肢体动脉栓塞者应施行彩色多普勒检查 ;早期手术取栓可明显减少血栓的蔓延 ,减少肢体坏死的危险性。Objective To analysis the cause, location, diagnosis, therapy, prevention and management of postoperative complication of acute arterial embolism in 98 extremities of 93 cases.Methods The causes of embolism were the desquamate of embolus from heart and aneurysm and the embolus of carcinoma. The locations of embolism were iliac arteries, femoral arteries and arteries of extremities. The method of treatment was operation.Results There were 2 cases of postoperative death and 11 postoperative amputations.Conclusions The color Doppler must be done on doubtful cases of acute embolism to avoid misdiagnosis. Early operation may decrease the extend of embolism and reduce the risk of extremities necrosis.

关 键 词：肢体动脉 急性栓塞 诊断 治疗 

分 类 号：R654.3[医药卫生—外科学]