The treatment of acute infrarenal abdominal aorta occlusion
- VernacularTitle:急性肾下腹主动脉闭塞的临床治疗
- Author:
Yanmin HAN
;
Qinghua WU
;
Baozhong YANG
;
Zhong CHEN
;
Hongru DENG
;
Xin HUO
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Vascular surgical procedures
- From:
Chinese Journal of General Surgery
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To sum up the experience in the management of acute infrarenal abdominal aorta occlusion. Methods We retrospectively analyzed 34 cases of acute infrarenal abdominal aorta occlusion treated during a period of 18 years. Cell saver was used intraoperatively in five cases.Results Twelve cases died postoperatively in this group (35 3%), with acute post operative renal failure, metabolic acidosis and hyperkalemia being the main causes of death. No acute renal failure and metabolic acidosis occurred in all cases treated by cell saver during operation. Limbs were salvaged in 36 out of 44 extremities of patients surviving the surgical procedure. ConclusionsPrompt diagnosis, proper surgery and correct management of post operative complications are necessary to decrease mortality. Perioperative application of cell saver is recommended to eliminate metabolic wastes from the body.
