目的:为了评估演示文稿,病因学,干预措施,和急性肢体缺血(ALI)患者的结局。
方法:观察性研究。研究的地点和持续时间:外科,阿加汗大学医院,卡拉奇,巴基斯坦,从2000年1月到2020年12月。
方法:回顾性评估104例接受手术治疗的ALI患者的记录。影像学(超声/CTA/常规血管造影)证实了诊断。人口特征,合并症,病因学,结果采用描述性统计和逻辑回归分析。
结果:该队列的平均年龄为58.89±12.6岁,与(54.8%,n=57)女性和(45.2%,n=47)男性。高血压(54.8%,n=57),糖尿病(46.2%,n=48),和心房颤动(34.6%,n=36)是常见的合并症。血栓栓塞(67.3%,n=70)和血栓闭塞(32.7%,n=34)是主要病因,主要影响下肢(66.3%,n=58)和股动脉(51.9%,n=54)。大多数病例被归类为卢瑟福分类2A(53.8%;56例)和2B(44.2%;46例);58(55.8%)患者被归类为ASAIII级,36例(34.6%)患者被归类为ASAIV级。栓塞切除术(80.8%,n=84)是普遍的干预,截肢率(17.3%,n=18)和死亡率(5.8%,n=6)。
结论:大多数ALI患者表现为RutherfordII级,并有血栓栓塞的病因。栓塞切除术是最常见的手术,截肢率和死亡率很高。
背景:急性肢体缺血,栓塞切除术,截肢,血栓栓塞.
OBJECTIVE: To evaluate presentations, aetiologies, interventions, and outcomes of patients presenting with acute limb ischaemia (ALI).
METHODS: An observational study. Place and Duration of the Study: Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan, from January 2000 to December 2020.
METHODS: Record of 104 patients who underwent surgical interventions for ALI was retrospectively evaluated. The diagnosis was confirmed on imaging (ultrasound / CTA / conventional angiography). Demographic characteristics, co-morbidities, aetiologies, and outcomes were analysed using descriptive statistics and logistic regression.
RESULTS: The cohort\'s mean age was 58.89 ± 12.6 years, with (54.8%, n = 57) females and (45.2%, n = 47) males. Hypertension (54.8%, n = 57), diabetes (46.2%, n = 48), and atrial fibrillation (34.6%, n = 36) were common comorbidities. Thromboembolism (67.3%, n = 70) and thrombotic occlusion (32.7%, n = 34) were primary aetiologies, predominantly affecting the lower limb (66.3%, n = 58) and femoral artery (51.9%, n = 54). The majority of cases were classified as Rutherford classification 2A (53.8%; 56 cases) and 2B (44.2%; 46 cases); 58 (55.8%) patients were classified as ASA Class III, while 36 (34.6%) patients were categorised as ASA Class IV. Embolectomy (80.8%, n = 84) was the prevailing intervention, with an amputation rate (17.3%, n = 18) and a mortality rate (5.8%, n = 6).
CONCLUSIONS: Most patients with ALI presented with Rutherford Class II and had thromboembolism aetiology. Embolectomy was the most commonly performed procedure with a high amputation rate and mortality.
BACKGROUND: Acute limb ischaemia, Embolectomy, Amputation, Thromboembolism.