Clinical analysis and management of postoperative complications of acute peripheral arterial emboletomy

LI Min

doi:10.13406/j.cnki.cyxb.2007.07.013

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Clinical analysis and management of postoperative complications of acute peripheral arterial emboletomy

更新时间：2024-01-17

- Clinical analysis and management of postoperative complications of acute peripheral arterial emboletomy
- Journal of Chongqing Medical University Issue 7, Pages: 760-762(2007)
- 作者机构：
  
  1. 重庆医科大学附属第一医院普外科
  2. 重庆医科大学附属第一医院普外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2007.07.013
  CLC： R654.4
- Published：2007，
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[1]李敏,罗凤,黄思凤,黄淑君.急性周围动脉栓塞取栓术后并发症临床分析及处理[J].重庆医科大学学报,2007(07):760-762.

LI Min. Clinical analysis and management of postoperative complications of acute peripheral arterial emboletomy. [J]. Journal of Chongqing Medical University (7):760-762(2007)
[1]李敏,罗凤,黄思凤,黄淑君.急性周围动脉栓塞取栓术后并发症临床分析及处理[J].重庆医科大学学报,2007(07):760-762. DOI： 10.13406/j.cnki.cyxb.2007.07.013.

LI Min. Clinical analysis and management of postoperative complications of acute peripheral arterial emboletomy. [J]. Journal of Chongqing Medical University (7):760-762(2007) DOI： 10.13406/j.cnki.cyxb.2007.07.013.

摘要

目的:分析急性周围动脉栓塞术后并发症

探讨其发生原因及防治措施。方法:回顾、分析117例急性周围动脉栓塞患者

采用Fogarty球囊导管取栓术治疗

术后行溶栓、抗凝、祛聚治疗的临床资料。结果:本组发生术后并发症:术后出血10例;肌病肾病代谢综合征4例;骨筋膜室综合征切开减压2例;术后再栓塞6例;出现循环衰竭9例;截肢8例

截肢率为7.8%;导致死亡14例

死亡率为11.9%。结论:导管取栓和术后抗凝治疗是治疗急性动脉栓塞的重要手段

而对术后并发症的临床观察、预防和及时处理是提高疗效、降低死亡率及截肢率的有力保障。

Abstract

Objective:To analyze the cause of postoperative complications of acute peripheral arterial embolization and explore their preventive measures.Methods:117 cases of acute peripheral arterial embolization

whichunderwent Fogarty embolecto my combined with postoperative thrombolytic

anti-coagulation and anti-platelet therapy

were analyzed retrospectively.Results:The postoperative complications include:10 case of postoperative bleeding

4cases of myosis and nephrosis syndrome

2cases of osteafascial syndrome underwent fiωciotomy for decompression

6cases of reembolization

9 cases of blood circulatory failure

8 cases of amputation with amputation rate of 7.8%

and 14cases of death with mortality rate of 11.9%.Conclusions:Single embolectomy combined with postoperative anticoagulation therapy etberr for acute arterial embol;WIIIIR close clinical obse arion

preeld in-time tr tment of tx complications can increase its efficacy and 10 le monalitv and amp OBa.

关键词

动脉栓塞并发症处理

Keywords

Arterial embolizationComplicatioffitreatment

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Related Institution

Department of General Surgery,College of Clinical Medicine,Chongqing Medical University

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