Galbraith K, Collin J, Morris P J, Wood R F
Ann R Coll Surg Engl. 1985 Jan;67(1):30-3.
A 5 1/2-year experience of 147 patients with arterial embolism of the limbs is reported. The mean age was 66.9 years, range 24-90 years and the male to female ratio was 1.07 to 1. Two distinct types of embolic episode with very different clinical consequences were recognised. Type I (64%) in which large emboli occluded the proximal arteries of the lower limb. They were usually treated by embolectomy and were followed by death or permanent disability in 63% of patients. Type II (36%) in which small emboli occluded the arterial supply of the upper limb or the arteries of the distal lower limb. Embolectomy was performed in only 60% of cases. Death was unusual and disability occurred largely as a consequence of non-surgical management. After occlusion of the aorta, iliac or femoral arteries embolectomy is necessary to save both life and limb while after embolism of the arm or distal lower limb it is essential for the preservation of function.
报告了147例肢体动脉栓塞患者的5年半经验。平均年龄为66.9岁，范围为24至90岁，男女比例为1.07比1。识别出两种具有非常不同临床后果的明显栓塞发作类型。I型（64%），其中大栓子阻塞下肢近端动脉。它们通常通过栓子切除术治疗，63%的患者随后死亡或永久残疾。II型（36%），其中小栓子阻塞上肢或下肢远端动脉的供血。仅60%的病例进行了栓子切除术。死亡不常见，残疾主要是由于非手术治疗导致的。主动脉、髂动脉或股动脉闭塞后，栓子切除术对于挽救生命和肢体都是必要的，而手臂或下肢远端栓塞后，对于保留功能至关重要。
