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目的:探讨急性动脉栓塞的最佳诊疗方法。方法:对52例急性动脉栓塞患者施行动脉切开,Fogarty导管取栓术,5例动脉造影后行动脉旁路搭桥术,结合抗凝溶栓治疗,对症状轻微患者只行溶栓抗凝治疗。结果:56例经及时行手术取栓的患者均保全了肢体。结论:动脉造影明确诊断评估后,除必要做动脉旁路转流的患者外,手术取栓结合抗凝溶栓是治疗急性动脉栓塞的有效方法。
Objective: To investigate the best diagnosis and treatment of acute arterial embolism. Methods: A total of 52 patients with acute arterial embolism underwent arteriotomy, Fogarty catheter embolization, arterial bypass grafting in 5 cases after arteriography, combined with anticoagulant thrombolysis and only thrombolytic anticoagulation in patients with mild symptoms . Results: 56 cases of patients who underwent timely surgical removal of the thorax preserved their limbs. CONCLUSION: After angiography is definitely diagnosed and evaluated, surgical thrombectomy combined with anticoagulant thrombolysis is an effective method for the treatment of acute arterial embolism except for patients who need arterial bypass.