Fogarty导管取栓加动脉内直接灌注溶栓药物治疗急性动脉栓塞(附5例报告)

Treatment of acute arterial embolism through both Fogarty catheter embolectomy and directly pouring thrombolytic agents into artery

作者报告采用Fogarty导管取栓术加动脉内直接灌注溶栓药物治疗急性动脉栓塞5例,共10例次。经此新疗法治疗,5例均肢体保存,症状消失。治疗时各例发病分别为3天、2(1/2)天、15小时、3小时和5天,作者提出取栓加溶栓药物灌注治疗的适应证除取决于发病时间外,当时肢体末端有否坏疽也很重要。Fogarty导管可取除主要血管内血栓,灌注溶栓药物则可溶化细小血管和毛细血管内血栓,二者结合使疗效明显提高。

Five cases of acute arterial emboilsm were treated by new method of both Fogarty catheter embolectomy and directly pouring thrombolytic agents into artery. The results is very good, In all cases the extremities were salvaged, the symptom were disappeared. The patients were operated upon 48, 36,15, 3 and 120 hours separately after onset. The indication of this new treatment method is not only relative to that how many hours is lasted between onset and treatment, but also relative to whether the extremity has been gangrened. The main embolism in greater artery can be removed by Fogarty catheter, while the. thrombosis of smaller artery can be resolved by directly arterial ransluminal pouring thrombolytic agents, so the results is better if the two methods are combined to use.