一个男人突然出现腿部疼痛和软弱
James DeChiara1, Lisa Skinner2
1Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington.
Clinical practice and cases in emergency medicine
|December 20, 2024
概括
这份病例报告详细介绍了一种罕见的血管紧急情况:急性大动脉封闭. 及时诊断和手术干预,包括栓塞切除和支架,成功地恢复了老年患者的功能.
科学领域:
- 血管外科 血管外科
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
背景情况:
- 急性大动脉闭塞是一种罕见但危及生命的血管紧急情况.
- 它可以被误诊为脊柱病理,导致延迟治疗.
- 高发病率和死亡率与这种疾病有关.
研究的目的:
- 在老年患者中呈现急性大动脉封闭病例.
- 突出诊断挑战和成功管理这种情况.
主要方法:
- 一个89岁的男性突然出现腿部疼痛和软弱的案例介绍.
- 诊断通过计算机断层扫描血管图证实,显示急性大动脉和门动脉封闭.
- 外科干预包括大心血管和大腿骨栓塞切除以及双边常见阴动脉支架.
主要成果:
- 患者经历了成功的栓塞切除和支架.
- 患者在干预后恢复到他的基线功能状态.
结论:
- 急性大动脉封闭需要及时诊断和干预以改善结果.
- 尽管它很罕见,但它仍然是一个具有重大风险的关键血管紧急情况.
- 多式成像和外科专业知识对于有效的管理至关重要.
相关概念视频
01:27Restless Leg Syndrome and Night Terrors
149
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
149
01:28Muscles of the Leg that Move the Foot and Toes
1.2K
The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
1.2K
02:41Lethal Alleles
14.8K
Agouti: A Lethal Allele
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
14.8K