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主动脉夹层中的下肢缺血。三例报告。

Lower-extremity ischemia in aortic dissection. Report of three cases.

作者信息

Schöön I M, Holm J, Südow G

出版信息

Scand J Thorac Cardiovasc Surg. 1985;19(1):93-5. doi: 10.3109/14017438509102829.

DOI:10.3109/14017438509102829
PMID:4012245
Abstract

Reports are presented of three hypertensive men with aortic dissection and signs of peripheral (leg) ischemia. The dissection was of type III b in two cases and type I in one case. Hypotensive medication was given in all cases, but in two of them peripheral vascular surgery became necessary to re-establish the circulation, while in the third case the hypotensive treatment sufficed for improvement of the leg circulation. Collaboration between thoracic and vascular surgeons can be of value in cases of aortic dissection with peripheral ischemia.

摘要

报告了3例患有主动脉夹层并伴有外周(腿部)缺血体征的高血压男性患者。2例为Ⅲb型夹层,1例为Ⅰ型夹层。所有病例均给予了降压药物治疗,但其中2例需要进行外周血管手术以重建血液循环,而第3例患者的降压治疗足以改善腿部血液循环。对于伴有外周缺血的主动脉夹层病例,胸外科医生与血管外科医生之间的合作可能具有重要价值。

相似文献

1
Lower-extremity ischemia in aortic dissection. Report of three cases.主动脉夹层中的下肢缺血。三例报告。
Scand J Thorac Cardiovasc Surg. 1985;19(1):93-5. doi: 10.3109/14017438509102829.
2
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引用本文的文献

1
Unexpected cause of a right hemiplegia secondary to the painless full-length aortic dissection: a case report and literature review.无痛性全程主动脉夹层继发右偏瘫的意外病因:一例报告及文献综述
Int J Clin Exp Med. 2015 Feb 15;8(2):3020-3. eCollection 2015.
2
ILEAD--ischemia of the lower extremities due to aortic dissection: the isolated presentation.ILEAD——主动脉夹层导致的下肢缺血:孤立性表现。
Clin Cardiol. 1999 May;22(5):353-6. doi: 10.1002/clc.4960220511.
3
Treatment of patients with aortic dissection presenting with peripheral vascular complications.
伴有周围血管并发症的主动脉夹层患者的治疗。
Ann Surg. 1990 Dec;212(6):705-13. doi: 10.1097/00000658-199012000-00009.