摘要
目的 :探讨急性动脉栓塞病的诊断治疗方法及预后。方法 :对 39例行 Fogarty气囊导管取栓术并联合肝素 +地塞米松 +普鲁卡因治疗的急性动脉栓塞 (共计 44条患肢 )患者进行回顾分析。 结果 :本组患者经取栓、抗凝治疗后 ,取得满意疗效。共挽救患肢 30条 ,截肢 7条 ,术后死亡 4例 (7条 ) ,35例患者术后疼痛消失或明显减轻。随访 3个月～ 9年 ,其中 30例生活能自理 ,有些可继续工作。结论 :早期诊断急性动脉栓塞 ,准确判断栓塞部位 ,及时手术治疗是挽救患肢的关键。
Objective: To study the diagnosis,treatment as well as prognosis of the acute aterial embolism. Methods: Fogarty catheter was carried out in 39 cases of acute aterial embolism, in combinationwith the application of heparin sodium, dexamethasone and procaine. Results: 30 patient's limbs were resumed and salvaged; 7 cases were amputated; 5 cases died. The pain disappeared or diminished in 35 cases. Follow up period from 3 months to 9 years. 30 of them living well. Conclusion: The early diagnosis, accurate location and immediate embolectomy are the key points in the treatment of acute aterial embolism.
出处
《新疆医科大学学报》
CAS
2000年第4期338-340,共3页
Journal of Xinjiang Medical University
基金
新疆医科大学第一附属医院科研发展基金! ( 97-YFY-0 8)
关键词
急性动脉栓塞
诊断
外科手术
预后
acute aterial embolism
diagnosis
surgical treatment
