O'Connell Jessica Beth, Quiñones-Baldrich William J
Department of Vascular Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-6908, USA.
Semin Vasc Surg. 2009 Mar;22(1):10-6. doi: 10.1053/j.semvascsurg.2008.12.004.
Acute limb ischemia is one of the most potentially devastating but treatable diseases faced by the vascular surgeon. It is crucial to identify the ischemic process early, as the outcomes of early intervention can lead to limb salvage, whereas late recognition places the patient at risk for limb loss and potential mortality. This article emphasizes the importance of properly evaluating the acutely ischemic extremity to ascertain whether the etiology is embolic or thrombotic. Appropriate treatment and management of the limb are determined by the underlying cause of the ischemia. The authors will review the clinical features, angiographic findings, and strategies for management for these similar but distinct etiologies: acute embolic versus thrombotic limb ischemia.
急性肢体缺血是血管外科医生面临的最具潜在破坏性但可治疗的疾病之一。尽早识别缺血过程至关重要，因为早期干预的结果可使肢体得以挽救，而延迟识别则会使患者面临肢体丧失和潜在死亡的风险。本文强调正确评估急性缺血肢体以确定病因是栓塞性还是血栓性的重要性。肢体的适当治疗和管理取决于缺血的潜在原因。作者将回顾这些相似但不同病因（急性栓塞性与血栓性肢体缺血）的临床特征、血管造影表现及管理策略。
