Stavorovsky M, Morag B, Iellin A, Lichtenstein D
Postgrad Med J. 1978 Jan;54(627):26-9. doi: 10.1136/pgmj.54.627.26.
Emboli of a main artery cause serious complications in patients suffering from acute myocardial infarction, in whom the surgical risk is high. In order to save the limb, embolectomy is indicated and should be considered. Early diagnosis and prompt surgical intervention with the use of the Fogarty catheter simplify the embolectomy procedure and enable restoration of circulation to the ischaemic limb. Thirty-two embolectomies were performed in twenty-eight patients suffering from acute myocardial infarction. Patients with cardiac compensation survived the surgery and recovered. However 50% of the patients in whom acute myocardial infarction was accompanied with congestive heart failure and arrhythmias died. The cause of death was the underlying disease. Considering the severity of the acute myocardial infarction this group of patients represents the expected mortality.
主要动脉栓塞会给急性心肌梗死患者带来严重并发症，这类患者手术风险很高。为挽救肢体，应考虑进行栓子切除术。早期诊断并使用Fogarty导管进行及时的手术干预，可简化栓子切除手术过程，并使缺血肢体恢复血液循环。对28例急性心肌梗死患者进行了32次栓子切除术。心脏功能代偿的患者手术成功并康复。然而，急性心肌梗死伴有充血性心力衰竭和心律失常的患者中有50%死亡。死亡原因是基础疾病。考虑到急性心肌梗死的严重性，这组患者的死亡率在意料之中。
