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[高脂血症的外科矫正术在闭塞性动脉硬化症治疗中的应用]

[Surgical correction of hyperlipidemia in the treatment of arteriosclerosis obliterans].

作者信息

Ratner G L, Kalimullin Kh A

出版信息

Khirurgiia (Mosk). 1993 Nov(11):30-4.

PMID:8145462
Abstract

Study of the blood serum lipid spectrum in 870 patients with atherosclerosis obliterans showed hypercholesterolemia in 24% and increased atherogenicity coefficient in 19%. In view of which, an operation for the formation of a partial iliac shunt was conducted in 33 patients with hyperlipidemia to reduce the blood lipid level and prevent the advancement of atherosclerosis obliterans. It was performed simultaneously with an operation for atherosclerosis obliterans in 15 of them. Twenty-three patients were studied in late periods, the level of atherogenic lipids in the blood was found to be decreased in all of them. The effect of the operation was positive in 17 patients, the process progressed in 3 patients. It is concluded that surgical correction of hyperlipidemia in atherosclerosis obliterans is an expedient measure.

摘要

对870例闭塞性动脉粥样硬化患者的血清脂质谱研究表明,24%的患者存在高胆固醇血症,19%的患者动脉粥样硬化系数升高。鉴于此,对33例高脂血症患者进行了部分髂静脉分流术,以降低血脂水平并防止闭塞性动脉粥样硬化的进展。其中15例患者在进行闭塞性动脉粥样硬化手术的同时进行了该手术。对23例患者进行了后期研究,发现他们所有人血液中致动脉粥样硬化脂质水平均降低。17例患者手术效果为阳性,3例患者病情进展。结论是,对闭塞性动脉粥样硬化患者的高脂血症进行手术矫正不失为一种权宜之计。

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