急性肢体缺血的临床表现 急性肢体缺血的影像学
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急性肢体缺血的临床表现(2)

时间:2012-08-21 17:10来源:未知 作者:Mr.Editor
紧急威胁(Immediately-threatened) 受到紧急威胁的肢体如果及时恢复血管通畅是可以拯救的。感觉缺失累及范围超过足趾本身,可以伴有静息痛。轻至中度的肌力下降,动脉多普勒信号不能听到或见到,但静脉多普勒信号



紧急威胁(Immediately-threatened) – 受到紧急威胁的肢体如果及时恢复血管通畅是可以拯救的。感觉缺失累及范围超过足趾本身,可以伴有静息痛。轻至中度的肌力下降,动脉多普勒信号不能听到或见到,但静脉多普勒信号可以见到或听到。

不可逆改变(irreversible & nonviable)- 不可逆缺血的肢体有较大的组织坏死(tissue loss)和/或永久性神经损伤。感觉丧失明显,肌力明显减弱伴有瘫痪和可能的僵硬(rigor),多普勒动静脉信号消失。尽管开始着手进行治疗,这些不可存活的肢体仍需要较大的截肢(major amputation )。血管再通治疗往往在截肢愈合后或截肢在较低的水平。


 

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3. Katzen BT. Clinical diagnosis and prognosis of acute limb ischemia. Rev Cardiovasc Med 2002; 3 Suppl 2:S2.
4. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation 2006; 113:e463.

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