下肢动脉急性缺血致横纹肌溶解征的临床分析

目的探讨下肢动脉急性缺血致横纹肌溶解征的治疗及转归。方法回顾性分析2001～2003年11例下肢动脉急性缺血并发横纹肌溶解征患者的治疗。全部病例首先均行手术取栓治疗,4例截肢。结果6例痊愈(54.5%);5例并发急性肾功能衰竭(45.5%),其中1例因多器官功能衰竭死亡(9.1%)。结论急性肾功能衰竭是下肢动脉急性缺血致横纹肌溶解征的危重并发症,及时截肢是重症患者取得好的预后的关键。

Treatment and prognosis of acute arterial ischemia in lower extremity caused rhabdomyolysis

Objective To elucidate the effect and prognosis of acute arterial ischemia in lower extremity caused rhabdomyolysis.[WT5HZ]Methods The treatment of 11 patients who had been diagnosed as having rhabdomyolysis caused by acute arterial ischemia of lower extremity from 2001 to 2003 was analyzed retrospectively.Among these patients all treated by thrombectomy,and combined amputation in 4 cases.Results Six cases(54.5%) were cured;Five cases(45.5%) were complicated with acute renal failure,and one died of multiple organ dysfunction syndrome(9.1%).Conclusion Acute renal failure is one of the severe complications in patients with rhabdomyolysis caused by acute arterial ischemia of lower extremity,and amputation in time can acquire a satisfactory outcome.