| Abstrakt: |
The modern development of vascular surgery has a real possibility to reduce lethality and the amount of amputations in patients with embolism of the aorta and major arteries of the extremities. An analysis of treatment of 2042 patients during the recent 28 years has shown that the embolism is observed in 62,3% of patients with IHD and its complications, and in 34,5% in rheumatism patients, the arterial impassability prevailing in the abdominal aorta basin and lower extremity arteries (67,5%). Surgical procedures were used in 86,6% with the restoration of the main or collateral blood flow in 91,2% of the patients operated upon. Irreversible ischemia of the extremity was diagnosed in 89 patients at admission to the hospital. For prophylactics of rethromboses and infection, nonmedicamentous methods of treatment played an important role and the amount of rethromboses was reduced to 5,5% and suppuration of the wound to 6,2% which resulted in low percentage of amputations (5,8%). |
