【摘要】 本文报告北京协和医院于1981～1984年治疗的96例124肢肢体缺血。由动脉硬化、急性动脉栓塞和股青肿引起者约分别占33%、25%和10%;仅1例为血栓闭塞性脉管炎。术前行血管造影者74%。血管重建术为本组主要的治疗方法,包括血管移植、栓子切除、血栓切除、动脉内膜切除和经皮经腔动脉成形术。本组显效88.8%,总手术死亡率4.2%。本文强调在诊断脉管炎前应除外其它可引起肢体缺血的疾患。更多还原

【Abstract】 This paper reports 124 ischemic extremites in 96 cases treated at the Beijing Union Medical College Hospital from 1981 to 1984. The incidence of atherosclerosis, acute arterial embolism, and phlegmasia cerulea dolens was about 33% 25% and 10% respectively. Only one case was Buerger’s disease. 74.0% of patients had recieved preoperative angiography. Revascularization procedures, such as bypass, embolectomy, endarterectomy, and percutaneous transluminai angioplasty were the main approaches in dealing with these ischemic extremities. Marked effect was obtained in 88.8% and the overall operative mortality was 4.2% in this series. It is emphasized that before the final diagnosis of Buerger’s disease is made, other ischemic disorders of the limbs must be ruled out.更多还原