一个不完整的表面手掌动脉门:修改的艾伦测试的临床考虑
Takutoshi Inoue1, Toru Yamamoto2, Joe Iwanaga3
1Department of Anatomy, Teikyo University School of Medicine, Tokyo, JPN.
Cureus
|May 19, 2025
概括
经过修改的艾伦测试 (MAT) 可能会显示由于表面手掌 (SPA) 的解剖学变异,手部循环不充分. 临床医生必须考虑这些变化,以准确解释MAT结果,避免误诊动脉阻塞.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 临床诊断 临床诊断 临床诊断
背景情况:
- 修改后的艾伦测试 (MAT) 评估手部循环,包括表面手掌 (SPA).
- SPA表现出显著的解剖学变异性,影响临床解释.
- 在临床实践中对SPA变异的标准化认可仍然有限.
相关概念视频
01:27Assessment of the Cardiovascular System III: Palpation
162
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
162
01:29Cardiovascular System Abnormal Findings I: Inspection and Palpation
227
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
227
01:21Sites for measruring blood pressure
1.4K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.4K
01:12Arteries of the Upper Limbs
333
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
333
01:11Assessment of radial pulse
772
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
772
01:29Assessment of the Cardiovascular System II: Inspection
143
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
143