Stryga W, Myrcha P, Zmijewski M
I Katedry i Kliniki Chirurgii II Wydziału Ak. Med., Warszawie.
Wiad Lek. 1993 Jun;46(11-12):420-4.
The causes of acute limb ischaemia after reconstructive arterial surgery may include excessive peripheral resistance, considerable arterial blood pressure fall, technical error, separation of the intima, or embolization by dislodged thromboembolic material. The purpose of the work was and analysis of causes and results of treatment in the clinical material in the period 1988-1991. For acute limb ischaemia after arterial surgery 45 patients were treated. The main causes of ischaemia were: considerable blood pressure fall--10 patients, excessive peripheral resistance--11 patients, and embolization by dislodged thromboembolic material--11 patients. The obtained results are unsatisfactory and fraught with a great number of complications. Good result was obtained in 30 patients (66.6%), limb was amputated in 7 cases (15.6%), and eight patients died (17.8%).
重建性动脉手术后急性肢体缺血的原因可能包括外周阻力过大、动脉血压显著下降、技术失误、内膜分离或脱落的血栓栓塞物质导致的栓塞。这项工作的目的是分析1988年至1991年期间临床资料中急性肢体缺血的病因及治疗结果。对45例动脉手术后急性肢体缺血患者进行了治疗。缺血的主要原因是：血压显著下降——10例患者，外周阻力过大——11例患者，以及脱落的血栓栓塞物质导致的栓塞——11例患者。所获得的结果并不理想，且伴有大量并发症。30例患者（66.6%）取得了良好效果，7例患者（15.6%）肢体被截肢，8例患者死亡（17.8%）。
