上肢缺血中的动脉栓塞与血栓形成
Arterial Embolisms and Thrombosis in Upper Extremity Ischemia.
作者信息
Skeik Nedaa, Soo-Hoo Sarah S, Porten Brandon R, Graber John, Alden Peter, Cragg Andrew, Alexander Jason Q, Rizvi Adnan, Manunga Jesse M, Garberich Ross F, Sullivan Timothy
机构信息
Vascular Medicine, Minneapolis Heart Institute, Minneapolis, MN, USA
Minneapolis Heart Institute Research Foundation.
出版信息
Vasc Endovascular Surg. 2015 Jul-Aug;49(5-6):100-9. doi: 10.1177/1538574415596740.
OBJECTIVE
Upper extremity ischemia (UEI) is an uncommon condition that can lead to permanent disability. There is a limited understanding of the etiology, management, and outcomes of the disease.
METHODS
We retrospectively reviewed the charts of all patients who were diagnosed with "embolism and/or thrombosis of arteries of upper extremity" at our institution from January 2005 to December 2013.
RESULTS
Patients diagnosed with embolisms were older (P < .001), more likely to undergo thromboembolectomy (P < .001), had higher rates of hypertension (P = .001), and had longer lengths of hospital stay (P = .002). There were no significant differences in complications or mortality at 30 days and up to 1 year.
CONCLUSION
At our center, embolism was found to be the most common etiology for UEI followed by thrombosis and stenosis. Patients presented with embolism were older, were more likely to undergo thromboembolectomy, and had higher rates of hypertension and longer hospital stays.
目的
上肢缺血（UEI）是一种罕见疾病，可导致永久性残疾。目前对该疾病的病因、治疗及预后的了解有限。
方法
我们回顾性分析了2005年1月至2013年12月在我院被诊断为“上肢动脉栓塞和/或血栓形成”的所有患者的病历。
结果
被诊断为栓塞的患者年龄较大（P < .001），更有可能接受血栓切除术（P < .001），高血压发病率更高（P = .001），住院时间更长（P = .002）。30天及1年内的并发症或死亡率无显著差异。
结论
在我们中心，发现栓塞是UEI最常见的病因，其次是血栓形成和狭窄。出现栓塞的患者年龄较大，更有可能接受血栓切除术，高血压发病率更高，住院时间更长。
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