急性下肢缺血误诊的原因分析(附21例报告)

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收稿日期: 2014-11-25

Analysis of the reason of the misdiagnosis of acute lower limb ischemia (Report of 21 cases)

- Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical Universality, Beijing 100050, China

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Received Date: 25 November 2014

摘要: 目的：探讨避免急性下肢缺血误诊的方法。方法：回顾性分析我院自2005-01-2014-05收治的首次就诊时误诊为其他疾病的21例急性下肢缺血患者的临床资料，分析导致误诊及缺血的原因。结果：21例患者中误诊为脑梗死2例，腰椎病15例，血栓形成1例，骨关节病1例，脉管炎1例，漏诊1例。缺血原因：动脉栓塞11例，骑跨栓1例，血栓形成7例，主动脉夹层2例。结论：急性下肢缺血误诊原因多为临床医师未予重视该疾病的存在，或未能进一步分析造成缺血的原因。
- 急性下肢缺血 /
- 误诊 /
- 截肢
Abstract: Objective: To explore the method in avoiding the misdiagnosis of acute lower limb ischemia.Method: Retrospectively analysis of the clinic data of 21 cases of acute lower limb ischemia admitted in our hospital from January 2005 to May 2014.Result: In our study,we found 2 cases of misdiagnosed as cerebral infarction,lumbar disease in 15 cases,thrombosis in 1 case,osteoarthrosis in 1 case,vasculitis in 1 case,missed diagnosis in 1 case.Ischemia causes:11 cases ofarterial embolism,1 case of saddle embolism;7 cases of thrombosis;2 cases of aortic dissection.Conclusion: The main reason of misdiagnosis of acute lower extremity is the ignorance of the existence of the disease.
- acute lower limb ischemia /
- misdiagnosis /
- amputation

[1]	Norgren L,Hiatt W R,Dormandy J A,et al.Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II)[J].J Vasc Surg,2007,45 Suppl S:S5-67.
[2]	王深明,李梓伦.应重视急性下肢缺血的诊断和治疗[J].中国血管外科杂志(电子版),2012,4(2):65-67.
[3]	Korabathina R,Weintraub A R,Price L L,et al.Twenty-year analysis of trends in the incidence and in-hospital mortality for lower-extremity arterial thromboembolism[J].Circulation,2013,128:115-121.
[4]	卢勇,郑月宏,刘昌伟.我国急性下肢缺血外科治疗现状分析[J].临床外科杂志,2011,19(5):302-307.
[5]	Earnshaw J J,Whitman B,Foy C.National Audit of Thrombolysis for Acute Leg Ischemia (NATALI):clinical factors associated with early outcome[J].J Vasc Surg,2004,39:1018-1025.
[6]	陈玉国,张运.进一步提高对急性主动脉夹层分离的认识[J].临床急诊杂志,2002,3(1):29-30.