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治疗下肢急性动脉栓塞的杂交策略 被引量：1

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摘要 急性动脉栓塞是指由栓子导致的肢体动脉急性闭塞,栓子的常见来源有心源性（心房颤动、心肌梗死、风湿性心脏病、人工心脏瓣膜、细菌性心内膜炎或心房黏液瘤等）和血管源性（动脉粥样硬化、动脉瘤、人工血管内血栓、动脉内操作及动脉内异物等）.最近几年因风湿性血管疾病及心房颤动引起的急性动脉栓塞逐渐减少,动脉粥样硬化基础上的栓塞和更加复杂疾病模式的患者逐渐增加.一、急性动脉栓塞的治疗1.外科切开动脉取栓：早期急性动脉栓塞的治疗主要有三种方法：（1）尝试取出栓子和血栓;（2）尽可能的取出血栓和栓子,然而用的并不是专门为取出血栓而设计的工具;（3）截肢.
作者 王兵 厉建林 王越 崔文军 赵磊 李阳 李攀峰 吴斐
机构地区 郑州大学第五附属医院血管外科 郑州大学临床医学系
出处 《中华临床医师杂志（电子版）》 CAS 2013年第3期164-165,共2页 Chinese Journal of Clinicians(Electronic Edition)
基金 河南省卫生厅科技攻关重点项目(201202015)
关键词 急性动脉栓塞 治疗 血管内血栓 风湿性心脏病 人工心脏瓣膜 动脉粥样硬化 细菌性心内膜炎 杂交
分类号 R654.3 [医药卫生—外科学]
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参考文献10

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同被引文献8

  • 1Vincenzo Costantini,Massimo Lenti.Treatment of acute occlusion of peripheral arteries[J].Thrombosis Research.2002(6)
  • 2Gianmarco de Donato,Francesco Setacci,Pasqualino Sirignano,Giuseppe Galzerano,Rosaria Massaroni,Carlo Setacci.The combination of surgical embolectomy and endovascular techniques may improve outcomes of patients with acute lower limb ischemia[J]. Journal of Vascular Surgery . 2013
  • 3Francesco Zaraca,Andrea Ponzoni,Patrizio Sbraga,Carlo Stringari,Juliane A. Ebner,Heinrich Ebner.Does Routine Completion Angiogram During Embolectomy for Acute Upper-Limb Ischemia Improve Outcomes?[J]. Annals of Vascular Surgery . 2012 (8)
  • 4Federico Tosato,Fabio Pilon,Dario Danieli,Francesco Campanile,Massimiliano Zaramella,Domenico Milite.Surgery for Acute Lower Limb Ischemia in the Elderly Population: Results of a Comparative Study[J]. Annals of Vascular Surgery . 2011 (7)
  • 5Francesco Zaraca,Carlo Stringari,Juliane A. Ebner,Heinrich Ebner.Routine Versus Selective Use of Intraoperative Angiography During Thromboembolectomy for Acute Lower Limb Ischemia: Analysis of Outcomes[J]. Annals of Vascular Surgery . 2010 (5)
  • 6S.J Palfreyman,A Booth,J.A Michaels.A Systematic Review of Intra-arterial Thrombolytic Therapy for Lower-limb Ischaemia[J]. European Journal of Vascular & Endovascular Surgery . 2000 (2)
  • 7Robert B. Rutherford,J.Dennis Baker,Calvin Ernst,K.Wayne Johnston,John M. Porter,Sam Ahn,Darrell N. Jones.Recommended standards for reports dealing with lower extremity ischemia: Revised version[J]. Journal of Vascular Surgery . 1997 (3)
  • 8HM Klomp,EW Steyerberg,CHA Wittens,H van Urk,JDF Habbema,For the ESES study group.A prognostic model for amputation in critical lower limb ischemia. Vascular Medicine . 2009

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二级引证文献17

中华临床医师杂志（电子版）
2013年 第3期

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