严重下肢缺血患者的化学性腰交感神经切除术。
Chemical lumbar sympathectomy in patients with severe lower limb ischaemia.
作者信息
Alexander J P
机构信息
Department of Clinical Anaesthesia, Belfast City Hospital.
出版信息
Ulster Med J. 1994 Oct;63(2):137-43.
Abstract
Over a 13 year period, 544 chemical lumbar sympathetic blocks with phenol in 489 patients were performed by the author with the aid of X-ray image intensification. There was objective and subjective improvement in the signs and symptoms of limb ischaemia in 72%, judged by relief of rest pain, improvement in skin blood flow or healing of ischaemic ulcers. Of patients treated in the years 1990-1993, 44% had suffered either death or major amputation within two years of their treatment. Three serious and probably avoidable complications are described.
摘要
在13年期间，作者借助X线影像增强技术对489例患者进行了544次苯酚化学性腰交感神经阻滞。根据静息痛缓解、皮肤血流改善或缺血性溃疡愈合情况判断，72%的患者肢体缺血的体征和症状有客观和主观改善。在1990年至1993年接受治疗的患者中，44%在治疗后两年内死亡或接受了大截肢手术。文中描述了三种严重且可能避免的并发症。
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本文引用的文献
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Operative lumbar sympathectomy for severe lower limb ischaemia: still a valuable treatment option.手术治疗严重下肢缺血的腰交感神经切除术：仍然是一种有价值的治疗选择。
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