老年患者急性上肢动脉栓塞的药物治疗

Drug treatment of acute embolism of the upper extremity in elderly patients

目的通过8例急性上肢动脉栓塞患者诊断和治疗,分析该病病因,总结药物治疗的经验。方法对辽宁电力中心医院于1995年1月至2015年12月收治的8例急性上肢动脉栓塞患者进行临床表现、诊断依据、治疗方案和随访等进行回顾性分析。结果本组病例治疗期间未出现死亡病例。术后治愈2例,好转5例,未愈1例。出院后随访半年,患者手部功能障碍2例,冠心病发作死亡1例。结论急性上肢动脉栓塞药物治疗效果确切,可做为不具备血管专科治疗条件医院对高龄老人的首选治疗方法。

Objectives The diagnosis and treatment of 8 cases of acute embolism of the upper extremity of patients,analysis the cause of the disease,and summarize the experience of drug treatment experience. Methods Liaoning electric power Central Hospital Department of general surgery from January 1995 to December 2015 were treated with peripheral vascular embolism were treated8 cases of acute embolism of the upper extremity. The onset age of 62-81 years old,the average age of 76. 5 years. Patients with clinical manifestations（ pain、pulselessness、paraesthesia、poikilothermia、pallor、paralysis）, diagnosis（ all patients underwent color Doppler ultrasound diagnosis and exclusion of cardiac neoplasm thrombus. In accordance with the Rutherford standard,patients were belonging to the 1 class and 2A class）,treatment（ Thrombolytic,dilation of blood vessels,anticoagulation） and telephone follow up were retrospectively analyzed. Results No deaths occurred during the treatment period. 2 cases were cured,5 cases improved,1cases ineffective. Patients were telephone followed up for six months,2 patients with hand dysfunction,1 patients with coronary heart disease and death. Conclusion The effect of non operative treatment for acute upper extremity arterial embolization is definite. Can be used as the first choice for treatment of non-vascular specialist hospitals.