在没有经典风险因素的患者中,来自非典型关键四肢缺血的自发子截肢
Alsadig Suliman1, Shorouq Mohammed Ali2, Mohamed Saadeldein3
1Department of General Surgery, Sudan Medical Specialization Board, Khartoum, Khartoum, Sudan.
IDCases
|September 29, 2025
概括
在一个没有典型风险因素的老年人身上,发生了一种罕见的自发脚截肢病例. 这种关键四肢缺血病例突出显示了在资源有限的环境中可适应的外科手术技术.
科学领域:
- 血管外科 血管外科
- 关键四肢缺血症 关键四肢缺血症
- 手术病例报告 手术病例报告
背景情况:
- 自发的子截肢是罕见的关键四肢缺血 (CLI) 症状.
- 通常与晚期血管疾病和并发性疾病有关.
- 在一个缺乏主要生活方式风险因素的老年患者中呈现非典型的CLI病例.
研究的目的:
- 报告一个独特的自发足子截肢病例.
- 为了说明资源有限的环境中的管理.
- 讨论非典型的CLI表现和适应性手术策略.
主要方法:
- 紧急膝盖以上截肢手术在一个败血症的老年男性身上进行.
- 由于缺乏专门的工具,使用福利导管即兴进行血栓切除术.
- 管理重点是临床判断和外科即兴手术.
主要成果:
- 通过紧急截肢和即兴血栓切除术成功挽救四肢.
- 患者在术后稳定,伤口愈合良好.
- 有限的诊断和资源限制需要适应性管理.
结论:
- 非典型的CLI呈现需要早期识别和临床敏.
- 手术适应性对于在服务不足的环境中获得有效结果至关重要.
- 资源限制可以通过即兴创作和良好的判断来克服.
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