CAJ | 학술논문

目的探讨急性腹主动脉骑跨栓塞的诊断和治疗方法。方法总结36例急性腹主动脉骑跨栓塞病人的临床资料,入院后均急诊行双侧股动脉逆行导管取栓术或腹主动脉切开取栓术,同时注重治疗原发病和并发病。结果术后即恢复肢体远端血流通畅，近期死于肌肾代谢综合征和心力衰竭3例；本组30例获得1年以上的随访，最长4年；20例获得优良效果，6例因缺血严重而行截肢手术。结论早期手术取栓等综合治疗、同时注重原发病和并发病的治疗，可明显提高治愈率，降低死亡率。
목적 탐토급성복주동맥기과전새적진단화치료방법。방법 총결36례급성복주동맥기과전새병인적림상자료,입원후균급진행쌍측고동맥역행도관취전술혹복주동맥절개취전술,동시주중치료원발병화병발병。결과 술후즉회복지체원단혈류통창，근기사우기신대사종합정화심력쇠갈3례；본조30례획득1년이상적수방，최장4년；20례획득우량효과，6례인결혈엄중이행절지수술。결론 조기수술취전등종합치료、동시주중원발병화병발병적치료，가명현제고치유솔，강저사망솔。
Objective To explore the diagnosis and treatment for patientswith acute aortic saddle embolism.Methods The emergency operations of retrograde catheter thrombolectomy or transaortic thromboembolism were done on 36 cases, while the propathy and complication were treated simultaneously.Results The normal blood flow were restored just after operation. 3 cases were died of myonephropathic metabolic syndrome or heart failure. 30 cases were followed up from 1 to 4 years. The excellent effects were obtained in 20 cases.Conclusion The early diagnosing and treating may increase the curative rate and decrease the mortality in patients with acute aortic saddle embolism.