腹主动脉末端阻塞30例诊断与治疗

Diagnosis and treatment for 30 cases of abdominal aortic distal occlusion

目的 探讨腹主动脉末端阻塞的诊断和治疗方法及预后。方法 回顾分析 1998- 2 0 0 0年共收治的 30例患者的临床资料、诊断手段、手术方式。结果 以腹主动脉—双髂动脉 Y型人工血管移植效果最佳 ,1、5 a通畅率分别为 10 0 %、6 2 %。死亡 3例中 ,1例死于术后出现肾功能衰竭 ,1例死于肺部感染至多器官功能衰竭 ,另1例术后高血钾心律失常导致死亡。结论 早期诊断、选择合理的术式、成功的血管重建、果断的筋膜切开 。

Objective To study the diagnosis,treatment and prognosis of abdominal aortic distal occlusion.Methods A retrospective analysis was made on the clinical data,diagnosis means and operation manner of 30 cases who were treated in our hospital from 1998 to 2000.Results The best way was applying the 'Y' abdominal aortic-bilateral iliac bypass graft.The graft patency rates of 1 and 5 year were 100% and 62% respectively.Among the 3 fatalities one died of postoperative acute renal faiure;one died of multiple organ failure resuled from pneumonia;one died of arrhythmia resulted from hyperkalemia.Conclusion It can decrease disability and mortality rates to take early diagnosis,reasonable operation manner,effective revascularization and decisive fasciotomy.