急性肢体动脉栓塞103例分析

目的：回顾性分析急性肢体动脉栓塞的原因、部位、诊断与治疗方法及术后并发症的预防和处理。方法：经动脉切开，导管取栓，共治疗103例110条肢体，其中上肢11条，下肢99条。7例合并动脉硬化狭窄性病变同时行动脉重建术。结果：8例手术后早期死亡，11例术后仍需截趾或截肢。结论：为防止误诊，对疑有肢体动脉栓塞应施行彩色多普勒检查；早期手术取栓可明显阻止血栓的蔓延，减少肢体坏死的危险。

Analysis of Acute Extremity Arterial Embolism

Objective To analyse the reasons, locations, diagnosis and therapeutic methods of acute arterial embolism, and the prevention and treatment of the postoperative complications after embolectomy for arterial embolisms. Method 110 extremeties of 103 cases with acute arterial embolism were treated by embolectomy. There were 11 arteries of upper limbs and 99 arteries of lower limbs. Result There were 8 cases of perioperative death, and 11 cases received postoperative amputations. Conclusion Ultrasound doppler examination should be taken for avoidance of misdiagnosis when acute extremity arterial embolism is suspected. As soon as the diagnosis is established, embolectomy with forgarty catheter must be carried out to avoid clot extension and necrosis of the extremity.