Recently, a man was nearly amputated after taking a plane! Expert: if you have these symptoms, you need to see a doctor immediately. A 59 year old uncle flew back to Zhongshan from his hometown in Northeast China. The flight time was more than 8 hours. When he arrived at Zhuhai airport at 5:00 p.m. that day, he suddenly felt cold, fatigue, severe pain, unable to walk, or even nearly amputated. What's the matter? It's terrible to be paraplegic by plane.
According to the reporter from Zhongshan Hospital of traditional Chinese medicine, fortunately, the patient was finally diagnosed with acute arterial occlusion of the lower extremities in time, and immediately underwent surgery, which avoided the risk of amputation. After being taken back to Zhongshan by his family, uncle a was immediately sent to the emergency department of the hospital. The doctor found that the skin of the left lower limb of the patient was cold, pale, hypoesthesia, dyskinesia, and the pulsation of the left femoral artery, popliteal artery, dorsum pedis and posterior tibial artery disappeared. Finally, the hospital diagnosed the acute occlusion of the lower limb artery and immediately performed the operation, which avoided the risk of amputation.
Why is such a serious situation? According to Guo Jinming, a doctor of vascular intervention department in the hospital, uncle a has a history of hypertension, hyperlipidemia and diabetes. When he has been flying for a long time, he has no activity, resulting in arterial occlusion of the lower limbs. If he misses the six hours of golden treatment time, he will not only amputate, but also have a higher risk of death. It was 5 hours since uncle a showed symptoms and came to the hospital that night. According to reports, the doctor did an emergency arteriography and endovascular treatment operation for uncle a, one and a half hours of operation, opened the artery of the patient's lower extremity, and uncle a can walk the next day after the operation.
According to reports, acute occlusion of the lower extremity artery refers to a pathological process in which the embolus falls off from the heart or the proximal artery wall or enters the artery from the outside and is pushed to the far side by the blood flow, which blocks the blood flow of the artery and leads to limb ischemia and necrosis. Such acute limb ischemia poses a serious threat to the vitality of the limb, which is manifested as severe pain, abnormal sensation, temperature reduction and other symptoms of the limb, such as If the blocked blood vessels are not opened as soon as possible, the amputated limb may appear in Zhongshan man's 8-hour flight, which is a very dangerous emergency of vascular surgery.
According to Guo Jinming, although there has been progress in the treatment, the limb loss rate of acute limb ischemia is still as high as 30%, and the hospital mortality rate is as high as 20%. Therefore, timely medical treatment and emergency opening of occluded blood vessels are of great significance to save the limb and even life of ischemia.
According to Wang Geng, director of vascular intervention Department of Municipal Hospital of traditional Chinese medicine, the annual incidence of acute peripheral arterial occlusion is about 1.5 cases / 10000 people. It has the characteristics of acute onset, rapid progress, high disability rate and mortality, which should be paid enough attention to. Early diagnosis and treatment as soon as possible are very important to save the limb. When patients with high-risk factors have acute leg pain, abnormal sensation and movement When there are 6 major clinical manifestations, such as disorder, pale skin color, low skin temperature, weakened or disappeared arterial pulsation, we should seek medical treatment quickly.