Early Diagnosis and Interventional Treatment of Upper and Lower Extremity Ischemia: Key Points and Symptoms

2023-07-06 02:34:00

Huang Shengzhong reminded that the early diagnosis and interventional treatment of upper and lower extremity ischemia is a key point. You can usually observe whether you have 5P symptoms in your upper and lower extremities, including pain, pulse, numbness, pale feet, paralysis, etc.; the picture shows the situation . (picture taken from shutterstock)

[Reporter Liu Wanjun/Tainan Report]The 70-year-old grandfather, surnamed Song, has a regular life. In the past, he had high blood pressure and coronary heart disease. He had undergone cardiac catheter stent surgery. He has been followed up in the outpatient clinic for a long time and received drug treatment. On the way to the vegetable market in May, I suddenly felt numbness and pain in my right foot, and it gradually became cold, so that I mightn’t walk around. Anticoagulants were given and cardiac catheterization was started urgently for thrombus aspiration, combined with the placement of an arterial thrombolysis catheter and thrombolytic agent treatment to avoid the risk of limb paralysis or amputation.

Huang Shengzhong, chief physician of the Department of Cardiovascular Medicine at Chi Mei Hospital, said that once acute ischemic necrosis of the upper and lower limbs occurs, the upper and lower limbs are prone to symptoms such as pain, pulse loss, numbness, paleness, and even paralysis. If it is not treated urgently, it may cause necrosis of limb cells, resulting in limb loss, disability, or even infection or sepsis of the patient. In severe cases, the patient may face the risk of amputation, which will cause regret.

Huang Shengzhong pointed out that there are two common causes of acute upper and lower extremity ischemic necrosis. The first is common in patients with arrhythmia. The outflow of emboli caused by atrial fibrillation leads to blood vessel blockage. Ischemic necrosis can also be called foot stroke; the second type is plaque rupture in the blood vessels of the upper and lower extremities, causing platelets to clot and block the blood vessels, similar to acute myocardial infarction. In these two cases, the body cannot dissolve a large number of blood clots, resulting in blockage of blood flow , resulting in acute symptoms.

Huang Shengzhong reminded that early diagnosis and interventional treatment are the key. You can usually observe whether you have 5P symptoms of upper and lower extremities, including pain, pulseless, paresthesia, and pale feet. , Paralysis, etc., if found, can be checked and treated early.

Huang Shengzhong, chief physician of the Department of Cardiovascular Medicine at Chi Mei Hospital, reminded the public to avoid acute ischemic necrosis of the upper and lower extremities by observing the 5P signs of the upper and lower extremities. (Photo by reporter Liu Wanjun)

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