Nitecki S, Schramek A, Torem S
Vascular Surgery Unit, Rambam Medical Center, Haifa.
Harefuah. 1992 Jan 1;122(1):16-8.
Peripheral embolism from dislodgement of intraarterial debris can convert successful surgery of the abdominal aorta into tragedy. An embolic shower from such surgery, often containing cholesterol, can result in forefoot or toe ischemia referred to as "trash foot." The incidence of this early complication is reported as 7-29%, but is believed to be even higher. Prevention and treatment includes heparin, embolectomy, lumbar sympathectomy, aspirin, rheomacrodex and prostaglandins. 3 such patients, 2 men aged 62 and 69, respectively, and a woman of 72, are reported. In 2 of the cases below-knee amputation was required, while the third patient died.
动脉内碎片脱落导致的外周栓塞可使成功的腹主动脉手术变成悲剧。这种手术引发的栓子流，通常含有胆固醇，可导致前足或脚趾缺血，即所谓的“垃圾足”。据报道，这种早期并发症的发生率为7%至29%，但人们认为实际发生率更高。预防和治疗措施包括使用肝素、进行栓子切除术、腰交感神经切除术、服用阿司匹林、右旋糖酐和前列腺素。本文报告了3例这样的患者，分别为2名男性，年龄分别为62岁和69岁，以及1名72岁的女性。在下面2例病例中，患者需要进行膝下截肢，而第3例患者死亡。
