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[我们治疗主动脉及四肢主要动脉栓塞患者的经验(纪念首例栓子切除术一百周年)]

[Our experience in treating patients with embolisms of the aorta and major arteries of the extremities (on the centenary of the first embolectomy)].

作者信息

Barsukov A E, Kariakin A M, Mel'nikov M V, Marinkin V I

出版信息

Vestn Khir Im I I Grek. 1996(1):10-3.

PMID:8753950
Abstract

The modern development of vascular surgery has a real possibility to reduce lethality and the amount of amputations in patients with embolism of the aorta and major arteries of the extremities. An analysis of treatment of 2042 patients during the recent 28 years has shown that the embolism is observed in 62,3% of patients with IHD and its complications, and in 34,5% in rheumatism patients, the arterial impassability prevailing in the abdominal aorta basin and lower extremity arteries (67,5%). Surgical procedures were used in 86,6% with the restoration of the main or collateral blood flow in 91,2% of the patients operated upon. Irreversible ischemia of the extremity was diagnosed in 89 patients at admission to the hospital. For prophylactics of rethromboses and infection, nonmedicamentous methods of treatment played an important role and the amount of rethromboses was reduced to 5,5% and suppuration of the wound to 6,2% which resulted in low percentage of amputations (5,8%).

摘要

血管外科的现代发展确实有可能降低主动脉和四肢主要动脉栓塞患者的死亡率和截肢率。对近28年2042例患者的治疗分析表明,在缺血性心脏病及其并发症患者中,62.3%观察到栓塞,在风湿性疾病患者中为34.5%,动脉阻塞主要发生在腹主动脉盆部和下肢动脉(67.5%)。86.6%的患者采用了外科手术,在接受手术的患者中,91.2%恢复了主要或侧支血流。89例患者入院时被诊断为肢体不可逆缺血。对于预防再血栓形成和感染,非药物治疗方法发挥了重要作用,再血栓形成率降至5.5%,伤口化脓率降至6.2%,从而使截肢率较低(5.8%)。

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