急性下肢动脉缺血47例治疗分析

Management of acute arterial ischemia of the lower extremities: A report of 47 cases

摘要: 目的: 探讨急性下肢动脉缺血的外科治疗及如何减少并发症的发生。方法: 总结47例急性下肢动脉缺血的治疗经验。42例行外科手术加抗凝、溶栓、扩血管治疗。5例行药物保守治疗。结果: 肢体存活32例,截肢11例,病死4例。5例保守治疗者经随访患肢有慢性缺血表现。结论: 急性下肢动脉缺血是血管外科常见急症,尽早诊断,及时选择合适的治疗方法对预后至关重要。

Abstract: Objective: To evaluate surgical treatment of acute arterial ischemia of the lower extremity and the approach to reducing the complications.Methods: Forty-seven cases of arterial embolism or thrombosis were analyzed retrospectively.Forty-two cases received surgery in addition to thrombolytic therapy,anti-coagulation and vasodilatation,and 5 cases were treated with drugs only.Results: The extremities of 32 cases were saved,11 cases were amputated,4 cases died and 5 cases receiving drug treatment had chronic ischemia.Conclusions: Early diagnosis and proper management are essential to the prognosis of acute arterial ischemia of the lower extremity.