KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ BỆNH THIẾU MÁU ĐỘNG MẠCH CHI DƯỚI CẤP TÍNH GIAI ĐOẠN 2020 – 2024 TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: Evaluate signs, symtoms, examinations and the outcomes of treatment acute lower limb ischemia in Military hospital 103. Subjects and methods: 32 patients with acute lower limb ischemia undergone surgery from 01/2020 to 06/2024. The study describes a series of cases, retrospective. Results: The mean age was 73,41 ± 10,08, male 71,89%; 62,5% had atrial fibrillation, 56,25% mitral stenosis or regurgitation, 65,6% peripheral artery disease. The mean hospitalized time was 100,84 ± 106,07 hours; the group from 6 to 24 hours presented in 21,9% and over 24h group presented in 62,5% pts. For 42 diseased limbs, there were 64,3% undergone embolectomy alone, 26,1% combined with fasciotomy, 7,1% with primary amputation (belongs to late 24h admission’group). 85,7% of limb was salvage, 14,2% of limb was amputation totally, 1 patient was died and 1 severe patient stopped treatment to back home. The limb salvage’s ratio was higher in the early 24h admission’group (100% compare to 70%; p = 0,043). Conclusion: Embolectomy was the main method in the acute lower limb ischemia treatment. Atrial fibrillation, mitral stenosis were still significant prevalents. Most patients were hospitalized late resulting the bad outcome.