Savel'ev V S, Zatevakhin I I, Isaev M R, Stepanov N V, Shipov S S
Vestn Khir Im I I Grek. 1983 Jun;130(6):3-9.
The authors have studied the incidence of deep venous thromboses and embolism of pulmonary artery branches in patients with acute arterial occlusion. Autopsies of 1279 patients with acute arterial occlusion have revealed thrombosis of main veins in 219 patients (17,1%), embolism of the pulmonary artery branches--in 132 patients (10,3%), thromboembolism of pulmonary arteries being diagnosed in life time in 19 patients only (14,4%). Venous thrombosis was revealed in 25 of 33 patients with acute arterial occlusion by distal phlebography, retrograde iliocavagraphy or radioisotopic phlebography. In 5 patients with floating thrombosis of the iliac or inferior caval vein umbrella cava-filters were implanted in order to prevent an embolism of the pulmonary artery. The investigation of the venous system in patients with acute arterial occlusion is shown to be necessary.
作者们研究了急性动脉闭塞患者深静脉血栓形成及肺动脉分支栓塞的发生率。对1279例急性动脉闭塞患者进行尸检发现,219例患者(17.1%)存在主静脉血栓形成,132例患者(10.3%)存在肺动脉分支栓塞,仅19例患者(14.4%)在生前被诊断为肺动脉血栓栓塞。通过远端静脉造影、逆行髂腔静脉造影或放射性同位素静脉造影,在33例急性动脉闭塞患者中的25例发现了静脉血栓形成。在5例髂静脉或下腔静脉存在漂浮血栓的患者中,植入了伞形下腔静脉滤器以预防肺动脉栓塞。结果表明,对急性动脉闭塞患者的静脉系统进行检查是必要的。