Yuan C
Beijing Heart Lung & Blood Vessel Center, Anzhen Hospital.
Zhonghua Wai Ke Za Zhi. 1992 Jul;30(7):427-30, 445.
130 patients with arterial embolism in the lower extremities underwent surgical treatment. The curative rate was 66.9%, amputation rate-19.2% and the mortality rate-13.8%. Statistical study showed that sex, age and recurrent embolism had few effects on the surgical results (P < 0.05). One of the influencing factors was the ischemic time of the lower extremities. The mortality rate was 33.3% in the distal abdomen with aortic embolism and 8.7% in the lower extremities (P < 0.005). The mortality rate and amputation rate were significantly higher in embolic patients with atherosclerotic stenosis and occlusion (9% and 17%). The mortality rate and amputation rate were 2.3% and 3.4% in patients with good blood flow and were 42.1% and 57.9% in patients without good blood flow uspectively. Reembolectomies showed no satisfactory effect. The results indicated that embolectomy combined with other necessary operations did not increase the mortality rate and amputation rate (P < 0.05). Postoperative anticoagulation therapy is extremely important.
130例下肢动脉栓塞患者接受了手术治疗。治愈率为66.9%，截肢率为19.2%，死亡率为13.8%。统计学研究表明，性别、年龄和复发性栓塞对手术结果影响较小（P<0.05）。影响因素之一是下肢缺血时间。腹主动脉远端栓塞患者的死亡率为33.3%，下肢栓塞患者的死亡率为8.7%（P<0.005）。伴有动脉粥样硬化狭窄和闭塞的栓塞患者的死亡率和截肢率显著更高（分别为9%和17%）。血流良好患者的死亡率和截肢率分别为2.3%和3.4%，血流不佳患者的死亡率和截肢率分别为42.1%和57.9%。再次取栓术效果不佳。结果表明，取栓术联合其他必要手术并未增加死亡率和截肢率（P<0.05）。术后抗凝治疗极为重要。
