The old man's leg pain is wrong. When the lumbar spondylosis is the amputation of blood vessels in the lower limbs
Author:Wuhan City Central Hospital Time:2022.07.12
(Correspondent Liu Shanshan) The 72 -year -old Yang Dad's leg pain mistakenly thought it was lumbar spondylosis. He carried it hard at home for 10 days. When he went to the hospital, he had a serious lower limb arterial embolism. Get amputation. Vascular surgery experts urgently performed hybridization for it and successfully saved their legs.
Dad Yang, who lives in Hankou (Hua surname) 72 years old. Ten days ago, when he went out to bend, he felt numbness and pain after walking hundreds of meters. His leg pain and didn't care too much. Later, the symptoms of pain gradually worsened. From the beginning of walking, the leg pain developed into a static and static pain. It hurts to sleep on the bed at night, and Yang Dad couldn't stand it. Then he hurried to the Wuhan Central Hospital for treatment.
Hu Min, deputy chief physician of vascular surgery, found that his entire left leg was cold, no temperature, and purple spots in his skin, and his skin appeared. This is a manifestation of severe ischemia in the lower limbs. The doctor combined with his medical history and color Doppler ultrasound examination, and diagnosed with left lower limb arterial embolism with thrombosis. If you come later, you must face the risk of amputation. Because the patient is dragged too long at home, if the traditional surgical cutting arteries are used directly at this time, it is equivalent to "blindness", which is likely to be unclean. Finally, after fully communicating with the family members of the patient, Hu Min, deputy chief physician of vascular surgery, and Zhang Yuanhao, the attending physician, performed emergency surgery for the elderly in the hybrid operating room. The operation of surgery is very difficult. The doctor carefully operated. After two hours of intense surgery, the dark red thrombus was successfully removed from the patient's leg. The old man's original ischemic left leg restored the temperature, and his left leg finally kept.
He Tao, director of the vascular surgery of the hospital, introduced that the patient was lucky and successfully saved his legs after timely surgery. In clinical practice, some patients are often treated with leg pain to be cured as the lumbar spondylosis. As a result, the best treatment time is missed, leading to amputation. The root cause of this patient's lower limb arterial embolism is atrial fibrillation. The heart content of these patients is likely to form thrombosis. Once the thrombosis falls off, it will travel along the blood flow, which can easily cause embolism, such as myocardial infarction, cerebral infarction, lower limb arterial embolism. Wait. This time, Dad Yang's thrombus traveled to the lower limbs.
Experts remind that there are long -term smoking history, hyperlipidemia, diabetes, hypertension, etc., especially the history of atrial fibrillation disease. It is a high -risk group of lower limb arterial embolism. Patients with atrial fibrillation can usually take anticoagulant drugs to control thrombosis. When the cold and pain of the lower limbs and the symptoms of the lameness should be visited in time when the symptoms of lameness should be visited to avoid severe consequences such as amputation due to missing lower limb ischemia.
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