急性腹主动脉阻塞42例诊治分析

目的 总结４２例急性腹主动脉阻塞的诊断和治疗体会。方法 对我院１９８０年至１９９９年６月入院后急诊手术的４２例急性腹主动脉阻塞病人进行了分析。其中股动脉逆行导管取栓术３０例,腹主动脉切开取栓８例,腋股动脉转流手术４例,同时注重治疗原发病和并发病。结果 病人术后即恢复肢体远端血流通畅性,按期死于肌肾代谢综合征和心力衰竭４例,本组３８例获得０．５～斫的随访观察,其中３６例随访１年以上,２例１年以下;远

Summary of 42 patients with acute aortic occlusion

Objective To summarize the experience of diagnosis and treatment in 42 patients with acute aortic occlusion. Methods Clinic data were analyzed. The emergency surgey of retrograde catheter thrombolectomy of transaortic thromboembolism were done, and the propathy and complications were treated simultaneously. Results Normal blood flow were restored just after operation. Four patients died of myonephropathic metabolic syndrome and heart failure. 38 patients were followed up for 0.5 to 4 years. Among them, 36 were followed for more than 1 year. A better effectiveness was achieved in 28 patients. Two patients died of recurrence accompanied with heart failure. Conclusion Early diagnosis and treatment may increase the curative ratio and decrease the mortality in patients with acute aortic occlusion.