頁籤選單縮合
題 名 | 導管法栓子去除術對下肢急性動脉栓塞之治療=Catheter Embolectomy for Acute Arterial Embolish of Lower Extremity |
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作 者 | 曾常奇; 俞紹基; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 2:3 民58.09 |
頁 次 | 頁142-145 |
關鍵詞 | |
語 文 | 中文(Chinese) |
中文摘要 | 利用Fogarty氏導管以治療急性動脉栓塞是一種簡單而效果良好的栓子除去法,但若無注獲得Fogarty氏導管時,則本文所提之塑膠導管(Polyethylene Tube),亦可用來作栓子除去術。在細心操作下,亦可獲得極為良好之治療效果。本院在過去兩年中所收集之四病例,均以上述方法除去栓子,使肢體血液循環恢復。其中一例因在外延誤治療,必須同時施行截肢術。一般而論,發病與手術治療之時間,距離愈短,則效果愈好,組織讀死機會愈少。若能在動脉栓塞發生後十二小時內完成手術,肢體多能獲救。患者經栓子去除術後,雖局部循環獲致良好復原,但其預後仍視患者之根本病因(Underlying Disease)而定。 |
英文摘要 | A ballon tipped catheter, specially designed by Dr. Fogarty for the surgical removal of arterial emboli has been widely used by many surgeons. Numerous reports describing the technic of using it and the operative results have been published. In case the Fogarty ballon catheter is not available, a suitable sized polyethylene tube can also be used for the removal of an arterial embolus. Four patients with arterial embolism of lower extremies have been treated with polyethylene tube catheter embolectomy. Restoration of peripheral arterial circulation was obtained in all except one patient who had to receive concomitant mid-thigh amputation due to the delay of embolectomy and evidence of gangrene of the involved limb. There was no immediate complication following the use of the polyethylene tube in the process of embolectomy. |
本系統中英文摘要資訊取自各篇刊載內容。