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급성 동맥 폐색증 : 5예 실험 보고 Five therapeutic experiences
유희철,임익강,조백환 의과학연구소 2000 全北醫大論文集 Vol.24 No.1
Therapeutic experience was made for five cases of acute aterial occlusive disease admitted at Chonbuk National University Hospital from November, 1994 through January, 1997, The male to female ratio was 4 : 1 and they are all developed at over 60 years of age. The occlusive areas werw 3 cases in iliac, 1 case in femoral, and 1 case in popliteal atery. Smptoms and signs were leg pain in all cases, coldness in 1 case, gangrenous change of toes in 1 case, pale in 1 case, and paresthesia in 1 case. The coexsistant disease were hypertension in 5 cases and associated with diabetes mellitus developed 5 years ago in 1 case and cerebrovascular accident developed 3 years ago in 1 case. The therapy include end to end using with Gore-Tex and saphenous vein, end to side bypass by inverted Y-graft with Gore-Tex, and thromboenbolectomy usingFogarty catheter. All cases have good vascular patency for 3 years follow-upexcept 1 case who was expired in preoperative period.