急性腹主动脉骑跨栓塞的治疗  

The Treatment of Acute Aortic Saddle Embolism

作　　者：王琦[1] 王征[1] 赵文光[1] 

机构地区：[1]吉林大学中日联谊医院血管外科,吉林长春130031

出　　处：《深圳中西医结合杂志》2003年第1期29-31,共3页Shenzhen Journal of Integrated Traditional Chinese and Western 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　总结 2 6例急性腹主动脉骑跨栓塞病人的临床资料。均行双侧股动脉逆行导管取栓术或腹主动脉切开取栓术 ,同时注重原发病和并发病的治疗。结果　术后肢体远端血流恢复 ,因并发严重的肌肾代谢综合征或心力衰竭死亡各 1例 ;本组 2 4例获得 1年以上的随访 ,最长 6年 ,其中 17例获得优良效果 ,3例因缺血严重而行截肢手术。结论　早期手术取栓等综合治疗、同时注重原发病和并发病的治疗 ,可明显提高急性腹主动脉骑跨栓塞的治愈率、降低死亡率。? Objective To explore the diagnosis and treatment of patients with acute aortic saddle embolism.Methods The emergency operations of retrograde catheter thrombolectomy or transaotic thromboemlism were done on 26 cases.while the propathy and complication were treated simultaneously.Results The normal blood flow were restored just after operation.2 cases were died of myonephropathic metabolic syndrome or heart failure.24 cases were followed up from 1～6 years.The better effectiveness in 17 cases was obtained.Conclusion It may increase the curative ratio and decrease the mortality through diagnosing and treating earlier in patients with acute aortic saddle embolism.

关 键 词：腹主动脉骑跨栓塞 骨筋膜室综合征 肌肾代谢综合征 

分 类 号：R543.1[医药卫生—心血管疾病]