Objective:To investigate the management of acute limb ischemia.
Methods:The clinical data of 28 patients with acute limb ischemia were retrospectively analyzed. Four patients with arterial embolism underwent embolectomy. one patient with pseudoaneurysm underwent false aneurysm resection and revascularization with PTFE, 23 patieuts wiht arterial occlusive disease were treated by multiple means such as embolectomy，bypass,primary amputation, endovascular interventions，and pharmacologic therapy (n=23).
Results:The 5 patients with arterial embolism or pseudoaneurysm were all treated successfully.In the 23 patients with arterial occlusive disease, 5(21.7%) were  treated successfully, 12(52.2%) were improved,and 6(26.1%) had ineffective treatment. No inpatient died, but 4 patients underwent amputation.During follow-up of 6-45 months，there were 4 deaths and other 5 amputations.
Conclusions:Proper intervention of patients with acute limb ischemia should be chosen according to clinical evaluation of the illness,and includes embolectomy and revascularization, to get limb or life salvage.