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Akutna ishemija udov = Acute ischaemia of the limbs
Flis, Vojko ...
Nenadna prekinitev pretoka udom povzroči akutno ishemijo. Tromboza, embolija in poškodba arterij so najbolj pogosti vzroki. Klasična klinična slika se kažekot huda bolečina, bledica, kasno se pojavi ...ohromitev živcev. Prizadeti ud je brez arterijskih utripov. Bolečina je vodilni klinični znak. Pojavi se nenadoma, je huda in se stopnjuje. Izhod bolezni je odvisen od splošnega stanja bolnika, stopnje ishemije in hitrosti ukrepanja. Bolnikom je potrebno čim prej intravensko vbrizgati heparin. Pred posegom je potrebno opraviti angiografijo. Pri emboliji je klasičen postopek zdravljenja kirurška embolektomija. Kjer čas to dopušča (ud ni hipno ogrožen) je mogoče uporabiti intraarterijsko litično zdravljenje. Primarno amputacijo ke potrebno opraviti pri bolnikih, kjer ud kaže ireverzibilne spremembe tkiva.
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