Mr. Shen, 68, went to the hospital for emergency treatment with sudden pain, numbness and chills in his left lower limb for 18 hours.
During the examination, the doctor found that Mr. Shen's left foot was warm and pale, with limited sensory and motor function, and the femoral artery, popliteal artery, dorsum foot and posterior tibial artery of the left lower limb were not palpated.
The doctor asked about his medical history and learned that Mr. Shen had a history of atrial fibrillation, ordinary oral betalux to control the ventricular rate, but did not take anticoagulant drugs regularly, no other medical history such as hypertension, diabetes, heart disease, etc., but a history of smoking for more than 20 years, and after the onset of this disease, he had poor diet and sleep, could not lie flat, and had obvious pain at night, and was sitting with his knees hugged.
After admission, the doctor quickly assessed the degree of ischemia and performed lower extremity artery CTA showed that there was a high possibility of arterial embolism in the left lower extremity, thrombosis of the superficial femoral artery and popliteal artery, and luminal embolism.
Considering Mr. Shen's previous history of atrial fibrillation and the irregular use of anticoagulants, it was presumed that the embolus in the atrial was broken off and blocked the arteries of the lower limbs, resulting in acute arterial ischemia.
On the second day after the operation, Mr. Shen's skin temperature gradually warmed, his skin color turned ruddy, and his sensory function gradually recovered, and his limb ischemia symptoms basically disappeared after 1 week after the operation, and the doctor approved him to be discharged.
One month after discharge, Mr. Shen had no obvious discomfort, and the results of color ultrasound showed smooth blood flow in the artery of the left lower extremity, and there was no obvious stenosis and occlusion.
The doctor reminds that lower extremity arterial embolism is the most common acute lower limb arterial ischemia in clinical practice, and the tissue will be irreversibly damaged after 6~8 hours of limb ischemia, and patients with severe arterial embolism will have typical 5P signs, namely pain, pallor, pulselessness, paresthesia, and paralysis.
Therefore, once arterial embolism is suspected, surgery should be performed in a timely manner to relieve the embolization and avoid the possibility of ischemic gangrene in the limbs.
As the saying goes, "A man has feet, just like a tree has roots, the roots of a tree are exhausted first, and the old feet of a man are the first to decline." ”
As an important "transportation hub" of the human body, the legs will affect the entire circulation of the body, and the human legs have 50% of the nerves and blood vessels of the whole body, connecting different tissues and organs of the human body.
According to the latest medical research, the discomfort of walking is often closely related to the health of blood vessels.
Whether the blood vessels are blocked or not, stand up and walk a few steps to know, if these 6 signals appear, you have to be careful!
01
I was in a hurry to walk and my chest hurt
The most typical external manifestation of blood vessel blockage is chest pain, because the heart is an important organ that circulates blood throughout the body, and when the blood vessels in the human body are blocked, it will lead to a decrease in the amount of blood transported back to the heart, and then there will be insufficient blood and oxygen supply.
Walking is an activity that needs to mobilize various organs in the body to work together, such as the increase in the amount of exercise during walking, the oxygen consumption of the heart will also increase, resulting in insufficient blood supply and oxygen supply to the heart, and then causing pain in the heart and mouth.
Patients generally experience chest tightness and chest pain after walking briskly for 200 meters, and some patients will experience unexplained dizziness and headache when walking.
02
Cold, numb, and painful legs and feet
When there is an acute embolism of the lower extremity vascular artery, there are usually sudden symptoms of coldness, numbness and pain in the lower limbs, accompanied by paresthesia, which often leads to the impaired movement of the body.
If it is a blockage caused by arteriosclerosis occlusion of the lower limbs, there is often only numbness and pain in the feet in the early stage, and as the disease progresses, there will be soreness in the calf muscles when walking, which can be relieved after resting for a period of time.
03
Abnormal color of the skin on the legs
Blockage of intra-arterial blood vessels can lead to pale skin on the patient's legs, low skin temperature after touching, weakened or even disappearing dorsalis pedis artery pulse, and severe cases may appear with bruising and black skin color, limb necrosis and other manifestations.
Intravenous blockage can lead to local skin redness, swelling and pain, palpable painful masses, etc., and deep vein thrombosis can cause limb swelling, pain, and even skin pigmentation and skin ulcers in the chronic phase.
04
Intermittent claudication
Intermittent claudication is one of the more common symptoms of vascular blockage, mainly after walking for a period of time, pain in the lower limbs, rest for a while, the pain in the lower limbs will be relieved, and then continue to walk, pain will appear again, continue to rest and relieve, and repeat, this is called intermittent claudication.
The main cause of intermittent claudication is that due to the blockage of the arteries of the lower limbs, the blood supply to the arteries of the lower limbs is insufficient, the lower limbs are ischemic and hypoxic, and after activity, the hypoxia is aggravated and the pain occurs.
The hypoxia will gradually lessen at rest, and the pain will gradually relieve, and as the condition gradually worsens, the claudication distance will gradually shorten until the pain at rest appears, that is, it will also be painful at rest, especially at night.
When the disease enters an advanced stage, ulcers and necrosis of the distal limbs may occur, and in severe cases, it can lead to infection.
05
Edema of the lower extremities
The two lower legs of the human body should be of the same thickness, but once one leg is thick, the other leg is thin, and asymmetrical edema occurs, it is necessary to be alert to blood vessel blockage and the formation of thrombosis.
The edema side may be caused by the blockage of the veins in the lower limbs, and the blood return is not smooth, and when the blood vessels are not smooth, the body cannot metabolize the excess water in the body, which will cause edema in the body.
In addition, when the veins are blocked, the patient will have swelling, pain, and skin tension of the distal limb of the blockage, which is known for edema, and can have pitting edema, which is often not relieved by elevation of the lower limbs or lying down to rest.
06
Muscle spasms
The blockage of blood vessels in the lower limbs is likely to cause obvious spasms in the muscles of the lower limbs, which will cause cramps in some people.
Due to the reduction of blood supply to the legs after arteriosclerosis of the blood vessels, the blood flow is not smooth, and the metabolites cannot be carried away by the blood, and when the metabolites accumulate to a certain concentration, they stimulate muscle contraction, which causes painful cramps.
In addition, if middle-aged and elderly people often have dizziness, balance disorders, and crooked walking to one side, they should also be alert to possible blockage of blood vessels.
If you don't want your blood vessels to be blocked, keep in mind 3 words, and your blood vessels will get better and better
01
The first word: water
Water is the best blood thinner, drink more water, drink warm water can play a role in thinning the blood, increasing blood flow, avoiding excessive blood viscosity, reducing blood vessel blockage, etc.
The main components of blood are blood cells and plasma, and the main components in plasma are water, so after drinking more water, water will be absorbed into the blood, so it will lead to an increase in blood volume, so as to achieve the effect of thinning the blood.
After drinking more water, the blood is diluted, the blood flow speed will be accelerated, and the blood lipid concentration will also decrease, which can avoid excessive blood viscosity and prevent blood clots, atherosclerosis and other diseases.
It is recommended that adults ensure a daily water intake of about 2000 ml, and if the kidney function is not good, patients need to follow the doctor's advice to drink water.
It is best to drink warm water, and do not overdose on more irritating drinks, such as coffee and strong tea.
02
The second word: move
Consistent exercise can promote blood circulation throughout the body, help reduce fat and cholesterol in the body, and promote the decomposition of garbage in blood vessels, so as to prevent blood vessel blockage.
"Office workers" should stand up every 45 minutes to move their bodies, such as getting a glass of water, stretching their waist, going to the toilet, etc., to prevent blood vessel blockage.
It is recommended to insist on 3~5 times a week, about 20~30 minutes of moderate-intensity exercise each time, yoga, walking, jogging, swimming, cycling, tai chi, etc., the elderly can choose walking, tai chi.
In addition to regular activity and exercise, doing these 3 actions regularly can also help prevent blood vessel blockages.
If you are a person with cardiovascular disease, especially the middle-aged and elderly, do these 3 small actions before going to bed to help the body prevent blood vessel blockage:
(1) Lie on your back, stretch your legs and raise them 45 degrees, insist on 20~30 seconds, and insist on doing 10 pieces;
(2) Sit up, lower your calves under the bed, and hold for 2 minutes;
(3) Lie flat again, tense your toes, stretch and release, and do 30 skillfully.
Take 15 minutes a day to do these 3 small actions, and stick to them, which can have a certain protective effect on blood vessels.
03
The third word: eat
Low-salt, low-fat, low-cholesterol diet, eat less fatty meat, liver, kidneys and other animal offal, and choose vegetable oil as much as possible.
Avoid greasy, heavy flavor and pickled foods, such as pig's trotters, fried chicken, pickles, etc., and eat more fresh fruits and vegetables, such as broccoli, onions, spinach, lettuce, apples, grapefruits, kiwifruit, etc.
Because these fruits and vegetables are rich in a variety of vitamins and plant amino acids, they have the effect of softening blood vessels and renewing the blood vessel intima and endothelial cells in time, thus effectively preventing blood vessel blockage.
#预防血管堵塞##血管堵塞都有哪些症状##下肢动脉栓塞#
@有来医生, master more health, emotional and psychological science knowledge, have health, enjoy the future!