Licht P B, Balezantis T, Wolff B, Baudier J-F, Røder O C
Department of Cardiothoracic and Vascular Surgery, Southern Danish University, Odense University Hospital, Denmark.
Eur J Vasc Endovasc Surg. 2004 Nov;28(5):508-12. doi: 10.1016/j.ejvs.2004.08.007.
To evaluate short- and long-term mortality and morbidity in patients that were treated for acute upper extremity ischemia.
Single center retrospective study.
A consecutive series of 148 patients who were admitted with a diagnosis of acute ischemia of the upper extremity during an 11-year period.
All charts were reviewed retrospectively and 96% of all survivors participated in clinical follow-up.
The median age was 78 years and 64% of patients were females. The 30-day mortality was 8% and the overall 5-year survival 37%. The observed mortality during the follow-up period was significantly higher than expected. Survival was not significantly different in patients who received anticoagulant drugs following discharge from the hospital. The duration of ischemia did not significantly influence long-term arm-function.
Acute embolic episodes in the upper extremity primarily occur in elderly and the peri-operative mortality is high. Mortality following discharge from the hospital remains significantly higher than that of the background population.
评估接受急性上肢缺血治疗患者的短期和长期死亡率及发病率。
单中心回顾性研究。
在11年期间连续收治的148例诊断为急性上肢缺血的患者。
对所有病历进行回顾性审查，96%的幸存者参与了临床随访。
中位年龄为78岁，64%的患者为女性。30天死亡率为8%，总体5年生存率为37%。随访期间观察到的死亡率显著高于预期。出院后接受抗凝药物治疗的患者生存率无显著差异。缺血持续时间对长期手臂功能无显著影响。
上肢急性栓塞事件主要发生在老年人中，围手术期死亡率较高。出院后的死亡率仍显著高于背景人群。
