Ketonen P, Luosto R, Mattila S, Ketonen L
Ann Chir Gynaecol. 1978;67(4):134-6.
34 episodes of acute arterial occlusion in the upper limbs were treated surgically in 30 patients. In 32 cases the embolus was considered to have originated in the heart. In 27 cases the radial pulse was reestablished after the primary operative procedure and in 2 cases after an additional operative procedure. In 3 cases the pulse remained inpalpable and 2 amputations were needed. The earlier after the onset of the symptoms the operation was performed the better were the results. Two patients expired in the hospital during the first week after operation and there were 11 late deaths during the follow up period. The remaining 17 patients were followed for an average of 4.1 yrs. 15 of these patients have not shown any evidence of re-occlusion during the follow up period.
30例患者共34次上肢急性动脉闭塞接受了手术治疗。32例中栓子被认为起源于心脏。27例在初次手术操作后桡动脉搏动恢复，2例在再次手术后恢复。3例搏动仍无法触及，需行2次截肢术。症状出现后手术进行得越早，结果越好。2例患者在术后第一周内于医院死亡，随访期间有11例晚期死亡。其余17例患者平均随访4.1年。其中15例患者在随访期间未显示任何再闭塞迹象。
