外伤后肢体动脉急性闭塞的介入溶栓治疗

目的探讨外伤后肢体动脉急性闭塞介入溶栓治疗的临床价值。方法对6例外伤后肢体动脉急性闭塞患者,行动脉内介入溶栓治疗,观察分析疗效。结果DSA造影清晰显示肢体动脉闭塞段部位、范围及程度。6例闭塞血管完全再通,溶栓成功率100%。4例术后出现再灌注损伤综合征,其中1例行肌筋膜室切开,3例药物治愈。术后肢体动脉远端搏动立刻恢复正常,疼痛明显减轻或消失,未出现肢体坏死,无出血等严重并发症。结论介入溶栓治疗外伤后肢体动脉急性闭塞,是安全、可靠的微创手段,疗效显著,并发症少,同时为置入内支架创造了条件。

Post-traumatic intraarterial thrombolytic treatment for acute occlusion of the extremities artery

Objective To explore the clinical value of intraarterial thrombolytic therapy for acute arterial occlusion of the extremities artery after trauma.Methods Six cases with acute arterial occlusion of the extremities after trauma underwent intraarterial thrombolytic therapy and the efficiency was analysed.Results Digital Subtraction Angiograph(DSA)clearly displayed the location,extent and dimensions of the occlusive extremity arteries.All the occlusive arteries were recanalized with successful rate of 100%.4 cases appeared to have ischemia-reperfusion injury after treatment,outcoming with recovery in one case by musculoaponeuratic splitting,and 3 cases through medication;and simultaneously the pulse of the occlusive arteries returned to normal and the local pains reduced or disapeared afterwards;without serious complications of necrosis,hemorrhage etc.Conclusions The intraarterial thrombolytic treatment of acute arterial occlusion of the extremities after trauma is safe,effective,minimal invasive and less complication;providing the preparation for further stent placement.