Clinical research of preoperative risk assessment of lower limb arteriosclerosis

doi:10.3877/cma j.issn.2095-5782.2014.01.008

Abstract

Abstract:

Objective

To explore the preventive effect of preoperative risk assessment in perioperative complications of lower limb arteriosclerosis.

Methods

A total of 106 patients with lower limb arteriosclerosis were graded with POSSUM.Before operation，we improved the general condition of the patients with middle and high risk，and investigated items included operation information and postoperative complications.

Results

Of the 106 patients，58 patients（58/106，54.72%）got middle or high risk score.Operation success was achieved in 97.73% （86/88）.There were 6.90% （2/29）patients in middle risk group suffered complications and 36.36%（4/11）patients in high risk group occurred complications.

Conclusions

Accurate risk assessment is contribute to reducing perioperative complications before operation.

Key words: Arterial occlusive diseases, Angioplansty, Risk assessment

Yongjiu Yang, Hongwei Zhao, Jiandong Liu, Zichang Jia, Zhongjian Wu. Clinical research of preoperative risk assessment of lower limb arteriosclerosis[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(01): 28-30.

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https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2014/V02/I01/28

Figures/Tables 2

References 8

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生理指标	1分	2分	4分	6分
年龄（岁）	≤60	60～71	≥71	—
GLS	15	12～14	9～11	≤8
呼吸系统	无呼吸困难	呼气性呼吸困难，胸片示轻度COPD	吸气性呼吸困难；胸片示中度COPD	静息呼吸困难；纤维化或结节
尿素氮（mmol/L）	≤7.5	7.6～10.0	10.1～15.0	≥15.1
脉搏（次/分）	50～80	40～49或81～100	101～120	≤39或≥120
心脏	无心力衰竭	利尿剂、地高辛、抗心绞痛药、降压药	肢体水肿/华法林；临界性心脏扩大	颈静脉怒张；心脏扩大
Hb（g/d1）	13～16	11.5～12.9或16.1～17.0	10.0～11.4或17.1～18.0	≤9.9或≥18.1
WBC（10⁹/L）	4～10	3.10～3.99或10.10～20.00	≤3.0或≥20.1
心电图	正常		房颤+心率=60～90	其他异常心率；≥5早搏/分；Q波或ST-T改变
血钠（mmol/L）	≥136	131～135	126～130	≤125
血钾（mmol/L）	3.5～5.0	3.2～3.4或5.1～5.3	2.9～3.1或5.4～5.9	≤2.8或≥6.0
收缩压（mmHg）	110～130	100～109或131～170	90～99或≥171	≤89

生理指标	1分	2分	4分	6分
年龄（岁）	≤60	60～71	≥71	—
GLS	15	12～14	9～11	≤8
呼吸系统	无呼吸困难	呼气性呼吸困难，胸片示轻度COPD	吸气性呼吸困难；胸片示中度COPD	静息呼吸困难；纤维化或结节
尿素氮（mmol/L）	≤7.5	7.6～10.0	10.1～15.0	≥15.1
脉搏（次/分）	50～80	40～49或81～100	101～120	≤39或≥120
心脏	无心力衰竭	利尿剂、地高辛、抗心绞痛药、降压药	肢体水肿/华法林；临界性心脏扩大	颈静脉怒张；心脏扩大
Hb（g/d1）	13～16	11.5～12.9或16.1～17.0	10.0～11.4或17.1～18.0	≤9.9或≥18.1
WBC（10⁹/L）	4～10	3.10～3.99或10.10～20.00	≤3.0或≥20.1
心电图	正常		房颤+心率=60～90	其他异常心率；≥5早搏/分；Q波或ST-T改变
血钠（mmol/L）	≥136	131～135	126～130	≤125
血钾（mmol/L）	3.5～5.0	3.2～3.4或5.1～5.3	2.9～3.1或5.4～5.9	≤2.8或≥6.0
收缩压（mmHg）	110～130	100～109或131～170	90～99或≥171	≤89

POSSUM评分	手术	并发症	合计
低风险	48	0	48
中风险	29	2	31
高风险	11	4	27
合计	88	6	106

POSSUM评分	手术	并发症	合计
低风险	48	0	48
中风险	29	2	31
高风险	11	4	27
合计	88	6	106

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