急性上肢动脉栓塞的外科治疗

Surgical treatment of acute embolism of the upper extremity

目的 探讨急性上肢动脉栓塞的外科治疗方法和影响预后的因素。 方法 回顾性分析肱动脉切开、Fogarty导管取栓术 18例。 结果 术后同时扪及桡动脉和尺动脉搏动者 8例 ,扪及桡动脉或尺动脉 1支搏动者 9例 ,余 1例皮温改善、肌力Ⅳ级 ,无术后患肢坏疽 ,死亡 3例。 结论肱动脉切开取栓术治疗急性上肢动脉栓塞的疗效好 ,高龄、心肺疾病是术后死亡的高危因素。

Objective To study the methods of surgical treatment and the prognosis of acute embolism of the upper extremity. Methods Balloon catheter embolectomy through the brachial artery was performed in 18 patients with acute embolism of the upper extremity. Results Both the pulse of the radial and ulnar artery could be palpated in 8 patients, either the pulse of the radial or ulner artery could be palpated in 9 patients. The temperature of the upper extremity was increased in the patient whose embolectomy was performed in the 6th day after onset of the illness. Three patients died postoperatively. Conclusions Embolectomy through the brachial artery is an effective method to treat acute embolism of the upper extremity. Elderly and heart and pulmonary diseases are the high risk factors for postoperative death.