急性肢体动脉栓塞及其并发症的治疗

目的探讨治疗急性肢体动脉栓塞及其并发症的有效方法。方法收集2000年3月~2005年9月我院收治的49例急性动脉栓塞患者的临床资料,分析其临床表现、治疗方法、疗效及死亡原因。结果49例患者中手术治疗46例,非手术治疗3例;共死亡4例,手术组死亡1例,非手术死亡3例。术后急性肾衰竭、代谢性酸中毒及高钾血症、原发心肺疾患是死亡的主要原因。结论早期诊断并手术治疗,有效去除血栓,及时发现并处理恢复血流后再灌注损伤、肌病肾病性代谢综合征及原发病是挽救生命,挽救肢体的关键。

Treatment of Acute Arterial Embolism in Extremity and the Complications

Objective To study the effective methods for treating acute arterial embolism in extremity and its complications.Methods 49 cases of acute arterial embolism in extremity treated between March.2000 and september.2005 in our hospital were analyzed retrospectively analysis the clinical manifestation,therapeutic methods,efficacy and cause of death. Results Among 49 cases,46 cases were treated by embolectomy,and 3 cases by medication; totally 4 cases died,1 in surgical group and 3 in medication group. The major causes of death were postoperative acute kidney failure,metabolic acidosis,hyperkalemia,and primary heart or lung diseases.Conclusion The key to save life and the extremity is an early diagnosis and embolectomy,to find out and to treat timely the reperfusion damage and myonephropathic metabolic syndrome after recovery of blood flow,and the primary diseases.