Saylam A, Böke E, Bozer A Y
Jpn Heart J. 1974 Nov;15(6):554-9.
Arterial embolus is usually a serious complication of rheumatic or atherosclerotic heart disease. One hundred-fifteen surgical procedures performed in 86 patients with arterial emboli in a 10 years' period in the Department of Adult Thoracic and Cardiovascular Surgery of our university are analyzed regarding the etiology, the treatment, and the results of this complication. Most of the patients were delayed cases showing mild to severe degrees of trophic, sensory and motor disturbances in the limbs without gangrene. These cases are also subjected to vascular surgery (removal of the embolus) as a chance to enable them to use their extremities in lieu of prosthese even when motor and sensory changes persist.
动脉栓塞通常是风湿性或动脉粥样硬化性心脏病的严重并发症。本文分析了我校成人胸心血管外科在10年期间对86例动脉栓塞患者实施的115例外科手术,内容涉及该并发症的病因、治疗方法及治疗结果。大多数患者为延误治疗病例,其肢体存在轻度至重度的营养、感觉和运动障碍,但无坏疽。即使运动和感觉功能持续存在改变,这些病例也会接受血管外科手术(取出栓子),以期能够使用自身肢体而非假肢。