Acute lower limb arterial embolism and thrombosis of the surgical treatment- report of 81 cases.docVIP

 PAGE \* MERGEFORMAT 9 Acute lower limb arterial embolism and thrombosis of the surgical treatment: report of 81 cases Of: Zhao Yue Zhao Jisheng Xukai Cheng Zhao Haomin Central Sunda Jun Zhang [Keywords:] acute arterial embolism, thrombosis, treatment Acute lower limb arterial embolism and thrombosis can lead to sudden occlusion of vascular lumen, causing the cycle of physical barriers, acute onset, disease progressed rapidly, such as the handling is not timely, can cause limb dysfunction, amputation disability, and even life-threatening. Clinical The correct preoperative diagnosis of arterial embolism was 70%, while arterial thrombosis was 47% correct diagnosis, and 10% to 15% of patients not diagnosed before surgery, the severity of limb ischemia is the selection of treatment strategy The most important factor, also affect treatment outcomes. This paper reviewed our hospital from January 2007 to June 2009 the treatment of arterial embolism and thrombosis caused 81 cases of acute lower limb ischemia patients, provide clinical basis for the scientific treatment. 1 Materials and Methods 1.1 General Information of this group 81 patients, 62 males and 19 females, aged 50 to 83 (mean (67.3 + -12.8) years, 47 cases of left leg, right lower limb in 27 cases, 7 cases of both lower limbs, a total of 88 patients limb. onset of 1 h ~ 3 w, main clinical manifestations of sudden leg pain, numbness, skin temperature decreased, pale skin, or bruising, severe cases, piebald, increased muscle tone, calf tenderness, swelling, motor and sensory function loss, skin necrosis and blistering. complications including: rheumatic heart disease, atrial fibrillation in 25 cases, 41 cases of hypertension, diabetes in 15 cases, 2 cases of nephrotic syndrome, congenital heart disease in 2 cases, 3 cases of myocardial infarction, cerebral infarction 15 cases, 64 cases of smoking history. All patients underwent color Doppler ultrasound before the examination, 7 patients because