锁骨下动脉狭窄合并指动脉栓塞1例并文献复习  

A case of severe subclavian artery stenosis complicated with digital artery embolism and literature review

作　　者：王志浩[1] 邢国飞 邹秀兰 侯红军 隋海明 Wang Zhihao;Xing Guofei;Zou Xiulan;Hou Hongjun;Sui Haiming(Department of Vascular Intervention Surgery,Weihai Central Hospital,Qingdao University,Weihai 264400,China;Department of Orthopedics,Weihai Central Hospital,Qingdao University,Weihai 264400,China)

机构地区：[1]青岛大学附属威海市中心医院血管介入外科,威海264400 [2]青岛大学附属威海市中心医院骨外科,威海264400

出　　处：《国际医药卫生导报》2024年第5期848-852,共5页International Medicine and Health Guidance News

摘　　要：本文主要对2022年11月威海市中心医院收治的1例锁骨下动脉狭窄合并指动脉栓塞的诊疗过程进行分析,探讨锁骨下动脉狭窄、指动脉栓塞处理时机及方法、血管危象处理方法。从锁骨下动脉狭窄病因、处理,指动脉栓塞药物治疗、手术治疗等方面进行综述,认为当出现锁骨下动脉闭塞合并指动脉栓塞时,应该尽早针对病因锁骨下动脉闭塞或狭窄进行支架植入治疗;若仍然存在肢体缺血,建议早期探查血管;对于有吸烟史、缺血时间较长的患者,尽早采用自体静脉桥接,从而提高指体存活率。This paper mainly analyzes the diagnosis and treatment process of a case of subclavian artery stenosis combined with digital artery embolism at Weihai Central Hospital in November 2022.The treatment timing and methods of subclavian artery stenosis and digital artery embolism and the treatment of vascular crisis were explored.This article reviews the etiology and treatment of subclavian artery stenosis,as well as drug therapy and surgical treatment of digital artery embolism.It is believed that when subclavian artery occlusion combined with digital artery embolism occurs,stent implantation should be performed as soon as possible for the cause of subclavian artery occlusion or stenosis.If limb ischemia still exists,early vascular exploration is recommended.For patients with smoking history and long ischemia time,autologous vein bridging should be used as early as possible to improve the survival rate of finger bodies.

关 键 词：锁骨下动脉狭窄 指动脉栓塞 手术治疗 文献复习 

分 类 号：R654.4[医药卫生—外科学]