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[治疗急性主动脉及四肢主要动脉阻塞中的错误、风险和并发症]

[Errors, hazards and complications in treating acute obstruction of the aorta and major arteries of the extremities].

作者信息

Novikov Iu V, Vilianskiĭ M P, Minachenko V K, Golubev V V, Khmelik I P

出版信息

Kardiologiia. 1978 Aug;18(8):72-8.

PMID:691969
Abstract

Errors made at various stages of the treatment of patients with acute thrombosis and embolism of the aorta and major arteries of the extremities were determined from the analysis of 476 clinical observations. Insufficient orientation of physicians in the problems of acute pathologic conditions of the vessels was the main cause of the errors at the prehospital stage. At the stage of specialized treatment, assessment of the degree of ischemia of the extremity, the severity of the patient's condition, and the viability of the extremity proved most difficult.

摘要

通过对476例临床观察病例的分析,确定了在急性主动脉及四肢主要动脉血栓形成和栓塞患者治疗的各个阶段所出现的失误。医生对血管急性病理状况问题缺乏足够的认知,是院前阶段失误的主要原因。在专科治疗阶段,评估肢体缺血程度、患者病情严重程度以及肢体的存活能力被证明是最困难的。

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