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目的 总结和分析腹主动脉骑跨栓塞的治疗经验和教训。方法 1990～ 2 0 0 3年 ,经双侧股动脉逆行导管取栓 15例 ,腋动脉双侧股动脉转流术 1例 ,主动脉双侧股动脉叉状人造血管旁路移植 2例 ,未手术 1例。结果 死亡 4例 (含未手术 1例 )。截肢 3例 4肢 ,截趾 2例 5趾。 1例足下垂。其他病例治疗成功。结论 提高对腹主动脉骑跨栓塞的认识 ,早期诊断、早期手术 ,尽早恢复肢体远端血流通畅 ,同时注意原发病和并发症的治疗 ,是降低病死和致残率的关键
Objective To summarize and analyze the treatment experiences and lessons of abdominal aortic embolism. Methods From 1990 to 2003, 15 patients underwent retrograde catheterization of the bilateral femoral artery, 1 patient underwent bilateral femoral artery bypass with axillary artery, 2 patients underwent bilateral bypass graft of femoral artery with bilateral femoral artery bypass graft, Surgery in 1 case. Results of death in 4 cases (including no surgery in 1 case). 3 cases of limb amputation in 3 cases, 2 cases of triceps toe. 1 case of foot drooping. Other cases of successful treatment. Conclusions It is the key to reduce the morbidity and mortality of abdominal aorta by improving the understanding, early diagnosis and early operation of restenosis of abdominal aorta. As soon as possible, the distal limb blood flow should be restored. At the same time, pay attention to the treatment of primary disease and complications