Department of Surgery, Division of Vascular Surgery, University of Tennessee, 1940 Alcoa Highway, Building E, Suite 120, Knoxville, TN 37920, USA.
Department of Surgery, Division of Vascular Surgery, University of Tennessee, 1940 Alcoa Highway, Building E, Suite 120, Knoxville, TN 37920, USA.
Surg Clin North Am. 2018 Oct;98(5):1081-1096. doi: 10.1016/j.suc.2018.05.002.
This article details the classification of limb ischemia, outlines the numerous causes of limb ischemia, highlights the diagnosis with treatment options and describes common postoperative conditions after limb ischemia intervention. The acute limb ischemia causes in the article are divided into sections including the presentation, diagnosis, and therapy for each cause. The broad limb ischemia causes include embolism, thrombosis, venous obstruction, trauma, and upper-extremity unique pathologic condition. Postoperative management is extremely important after revascularization of an acutely ischemic extremity. Reperfusion injury, myoglobinuria, and compartment syndrome are summarized in the postoperative section.
本文详细介绍了肢体缺血的分类，概述了导致肢体缺血的众多原因，重点介绍了诊断和治疗方法，并描述了肢体缺血干预后的常见术后情况。文章中急性肢体缺血的原因分为几个部分，包括每个原因的表现、诊断和治疗。广泛的肢体缺血原因包括栓塞、血栓形成、静脉阻塞、创伤和上肢特有的病理状况。急性缺血肢体再血管化后，术后管理非常重要。再灌注损伤、肌红蛋白尿和间隔综合征在术后部分进行了总结。
