Winter is a period of high incidence of vascular disease.
Recently. Sir Run Run Shaw Hospital, Zhejiang University.
A 72-year-old patient was treated.
And from her right leg.
Nearly 40 centimeters of blood clot were removed.
The old man reported sudden pain in his right leg for 3 days, the pain was obvious, and the symptoms appeared without warning, from normal to unable to walk, there was no transition in between.
After examination, the orthopedic surgeon found that the temperature of the old man's right lower limb ** was cold, and the right dorsal foot artery did not feel a pulse. The toes are pale and bloodless, and the toes are slightly purple, which is a sign of imminent necrosis of the limbs. She was advised to go to the Department of Vascular Surgery.
Taking into account the age of the patient.
Sudden pain in one leg and inability to walk.
There is also atrial fibrillation. Doctors guessed it was a thromboembolism.
Checked. The old man is indeed thromboembolic.
The doctor said that once thromboembolism occurs, the sooner the operation, the better, if the operation is performed within 6-8 hours, there will generally be no sequelae, if it is more than 24 hours, even if the operation is opened through the blood vessels, there may be ischemia and reperfusion injury, resulting in limb swelling, necrotic tissue is carried to the whole body by the bloodstream, bringing more serious problems.
Doctor from the old man's right leg.
Nearly 40 cm of blood clot was removed.
The doctor said that now everyone pays more attention to health, atrial fibrillation can get a good **, and there are fewer emergency departments similar to thromboembolism than before, so it has not been a long time since such a long time of thrombosis.
Generally speaking, in the early stage of this situation in the elderly, it is a small blood clot that falls from the heart, about 1-3 cm, which falls into the arteries of the lower limbs and causes blood vessel blockage, and within 3 days, a new blood clot forms in the arterial blood vessels that have been blocked for a long time, so the thrombus removed is 30-40 cm long.
Fortunately, the recovery from the operation was relatively smooth, and the old man did not have any sequelae.
Because this kind of problem is more common in the elderly, and the elderly more or less have some lumbar spine problems, there have been patients with leg pain, it happens that there is a problem with the lumbar intervertebral disc, and it is mistaken for a lumbar intervertebral disc herniation for surgery, and the lower limbs are further blackened and necrotic after surgery, and finally the leg is not saved.
Doctors said that in such patients, most of the blood clots fall from the heart, and some are aortic wall thrombosis, aneurysm wall thrombus, and blood clots on the basis of arterial stenosis. Of course, not only the arterial system, but also the venous system can develop blood clots.
Winter is the season of high incidence of vascular diseases, blood vessels heat expansion and contraction, heating or air conditioning leads to dry climate, if you don't drink more water, blood will be in a hypercoagulable state, if because of the cold nest still, the amount of activity is reduced, blood flow stasis, various factors are affected, thrombosis is easy to form.
During this period, the number of outpatient and emergency visits has also increased significantly, especially for patients with aortic dissection rupture, carotid artery stenosis, arteriosclerosis of the lower limbs, occlusion and other problems.
Doctor reminds. The following three points should be paid special attention to.
*: Orange Persimmon Interactive City Express.