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目的分析下肢动脉闭塞介入治疗(IT)中发生远端动脉栓塞(DE)的资料,总结其规律及处理措施。方法回顾性分析山西省人民医院血管外科自2011年10月至2014年5月部分因下肢动脉闭塞而行IT患者126例的临床资料。其中6例患者出现DE,3例给予动脉内置管溶栓,2例行动脉切开取栓,1例仅给予观察。结果 6例DE术后无静息痛、坏疽等出现,均获得随访,随访中没有发现DE对患者的近、中远期效果造成不良影响。结论介入前仔细阅片、介入中仔细操作可以有效地降低DE的发生率;出现DE后根据不同的栓塞部位及临床表现,采用积极、正确的处理措施可以最大限度地降低其危害。
Objective To analyze the data of distal arterial embolism (DE) in the interventional treatment of lower extremity arterial occlusion (IT) and summarize its regularity and treatment measures. Methods The clinical data of 126 patients with IT due to lower extremity artery occlusion in Department of Vascular Surgery of People’s Hospital of Shanxi Province from October 2011 to May 2014 were retrospectively analyzed. Among them, DE occurred in 6 cases, intra-arterial catheter thrombolysis was given in 3 cases, arteriotomy and embolectomy in 2 cases, and only one case was observed. Results There were no rest pain and gangrene after operation in 6 cases, all of them were followed up. No DE was found to have a negative effect on the short-term and long-term effects of the patients after follow-up. Conclusions Reading carefully before intervention, careful intervention can effectively reduce the incidence of DE; after the emergence of DE according to different embolism sites and clinical manifestations, the use of positive and correct treatment can minimize its harm.