Menges H W, Schaupp W, Trede M
Chirurgische Klinik, Klinikum Mannheim der Universität, Heidelberg.
Langenbecks Arch Chir. 1987;372:645-9. doi: 10.1007/BF01297901.
From 1972 to 1986 70 acute occlusions of the aorta or bilateral iliac arteries were operated in our clinic. The occlusion was caused in 41 cases by embolisation, in 29 cases by thrombosis. Amputation rate was 22.8%, the mortality rate 42.8%. 71% of the patients were of extreme high risk regarding the operation as well as the anesthesia. In 44% of the patients the duration of complete ischemia was more than 6 h. Performance of intraoperative angioplasty (n = 10 patients) for dilatation of stenoses leading to thrombotic occlusions may lower the mortality rate.
1972年至1986年期间，我院对70例主动脉或双侧髂动脉急性闭塞患者进行了手术治疗。其中，41例由栓塞引起闭塞，29例由血栓形成导致闭塞。截肢率为22.8%，死亡率为42.8%。71%的患者在手术及麻醉方面属于极高风险。44%的患者完全缺血持续时间超过6小时。对导致血栓性闭塞的狭窄部位进行术中血管成形术（10例患者）或许可降低死亡率。
