Cappeller W-A
Klinik für Allgemein, Viszeral und Gefässchirurgie, Bereich Gefässchirurgie, MLU Halle, Germany.
Zentralbl Chir. 2002 Aug;127(8):669-73. doi: 10.1055/s-2002-33573.
Symptoms of occluded aortic bifurcation are variable and consequently lead to the question "How urgent is the operation?".
The diagnostic and therapeutic procedure is analysed retrospectively in 6 patients. The reason for the occlusion was thrombosis or embolism in 3 patients each.
A successful bilateral inguinal thrombembolectomy was the standard operative revascularisation. In 2 of 3 emergency cases with critical ischemia the operation was performed without preoperative imaging. 3 patients with non-critical ischemia were operated upon more than 12 hours after rising symptoms.
How urgent the operation is depends primarily on the extent of occlusion. In case of critical ischemia a revascularisation can be performed without angiography. However, a more extensive procedure, even a bifemoral bifurcation graft, must be taken into account.
主动脉分叉闭塞的症状多种多样，因此引发了“手术的紧迫性如何？”这一问题。
对6例患者的诊断和治疗过程进行回顾性分析。闭塞原因分别为血栓形成和栓塞，各有3例。
成功的双侧腹股沟血栓切除术是标准的手术血管重建方法。3例严重缺血的急诊病例中有2例在未进行术前影像学检查的情况下进行了手术。3例非严重缺血患者在症状出现12小时后接受了手术。
手术的紧迫性主要取决于闭塞的程度。在严重缺血的情况下，可以在不进行血管造影的情况下进行血管重建。然而，必须考虑更广泛的手术，甚至是双股分叉移植术。
