急性肾下腹主动脉闭塞的临床治疗

目的总结急性肾下腹主动脉闭塞的诊治经验。方法对 18年间收治的 34例急性肾下腹主动脉闭塞进行回顾性分析。 5例采用术中红血球清洗回输 (cellsaver)治疗。结果全组死亡 12 / 34例 ( 35 3% ) ,术后急性肾功能衰竭、代谢性酸中毒高血钾是死亡的主要原因。 5例应用cellsaver治疗者均无急性肾功能衰竭和代谢性酸中毒高血钾症发生。痊愈者肢体保全 36 / 4 4条( 81 8% )。结论及时诊断、正确选择术式、适当的处理术后并发症可以降低死亡率。术中应用cellsaver是减少体内代谢性毒素聚集的有效措施。

The treatment of acute infrarenal abdominal aorta occlusion

Objective To sum up the experience in the management of acute infrarenal abdominal aorta occlusion. Methods We retrospectively analyzed 34 cases of acute infrarenal abdominal aorta occlusion treated during a period of 18 years. Cell saver was used intraoperatively in five cases.Results Twelve cases died postoperatively in this group (35 3%), with acute post operative renal failure, metabolic acidosis and hyperkalemia being the main causes of death. No acute renal failure and metabolic acidosis occurred in all cases treated by cell saver during operation. Limbs were salvaged in 36 out of 44 extremities of patients surviving the surgical procedure. ConclusionsPrompt diagnosis, proper surgery and correct management of post operative complications are necessary to decrease mortality. Perioperative application of cell saver is recommended to eliminate metabolic wastes from the body.