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Management of acute arterial ischemia of the lower extremities:A report of 47 cases

NIE Zhong-lin 1,GAO Yong 1,LI Xiao-qiang 2,YU Chao-wen 1,ZHOU Wei-min 1,CHEN Shi-yuan 1 (1.Department of Vascular Surgery,Affiliated Hospital of Bengbu Medical College,Bengbu 233004;2.Department of Vascular Surgery,Second Affiliated Hospital of Suzhou University,Suzhou 215004,China) [  
Objective:To evaluate surgical treatment of acute arterial ischemia of the lower extremity and the approach to reducing the complications.Methods:Forty-seven cases of arterial embolism or thrombosis were analyzed retrospectively.Forty-two cases received surgery in addition to thrombolytic therapy,anti-coagulation and vasodilatation,and 5 cases were treated with drugs only.Results:The extremities of 32 cases were saved,11 cases were amputated,4 cases died and 5 cases receiving drug treatment had chronic ischemia.Conclusions:Early diagnosis and proper management are essential to the prognosis of acute arterial ischemia of the lower extremity.
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