[1]张昌明,张福先,张 欢. 经导管溶栓治疗急性下肢缺血疗效分析[J].介入放射学杂志,2012,(09):780-783.
 ZHANG Chang- ming,ZHANG Fu- xian,ZHANG Huan.. Evaluation of percutaneous catheter?蛳 directed thrombolysis for the treatment of acute lower limb ischemia[J].journal interventional radiology,2012,(09):780-783.
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 经导管溶栓治疗急性下肢缺血疗效分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年09期
页码:
780-783
栏目:
临床研究
出版日期:
2012-09-30

文章信息/Info

Title:
 Evaluation of percutaneous catheter?蛳 directed thrombolysis for the treatment of acute lower limb ischemia
作者:
 张昌明 张福先 张 欢
Author(s):
 ZHANG Chang- ming ZHANG Fu- xian ZHANG Huan.
 Department of Vascular Surgery, Shijitan Hospital, Capital Medical University, Beijing 100038, China
关键词:
 【关键词】 急性下肢缺血 导管溶栓 疗效分析。
文献标志码:
A
摘要:
 【摘要】 目的 探讨经导管溶栓治疗急性下肢缺血(ALI)的方法与疗效。方法 16例ALI患者,按Rutherford 分期, Ⅱb期15例, Ⅲ期1例。所有患者均采用经溶栓导管局部持续溶栓的方法介入治疗。结果 16例患者中2例(12.5%)患者经介入溶栓导管溶栓后病变血管完全再通;14例(87.5%)患者病变血管部分再通,肢体得以保全。后期随访1例(6.25%)患者肢体发生不可逆性坏死而行截肢术; 3例(18.8%)遗留有下肢间歇性跛行症状。结论 经溶栓导管介入溶栓治疗ALI安全、有效,部分患者肢体可得到保全。 

参考文献/References:

 [1] Rutherford RB, Baker JD, Ernst C, et al. Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg, 1997; 26: 517 ?蛳 538.
[2] Norgren L, Hiatt WR, Dormandy JA, et al. Inter?蛳 Society consensus for the management of peripheral arterial disease (TASC II)[J]. J Vasc Surg, 2007, 45 Suppl S: S5 ?蛳 67.
[3] 李子川, 杨 军, 耿树军, 等. 老年患者急性下肢动脉缺血介入溶栓及支架置入治疗[J]. 介入放射学杂志, 2010, 19: 651 ?蛳 654.
[4] Mark AC, John AK, Michacl SC. Acute Limb Ischemia[J]. N Engl J Med 2012. 366: 2198 ?蛳 2206.
[5] 薛冠华, 梁 卫, 黄晓钟, 等. 导管溶栓治疗急性下肢动脉缺血的疗效评价[J]. 介入放射学杂志, 2010, 19: 715 ?蛳 717.
[6] Jeffrey AG. Gregory M Choosing the cirrect therapentic option for acute limb ischemia[J]. Intervent Cardiol, 2011, 3: 381 ?蛳 389.

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备注/Memo

备注/Memo:
 (收稿日期:2012-02-12)
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