Monday, June 11, 2012

Arteriosclerosis obliterans of the clinical manifestations

Types of common heart disease - heart disease Baike Heart disease, Heart attack, Heart failure, Respiratory diseases, lung diseases
Arteriosclerosis obliterans clinical manifestations? Experts say: because the majority of patients with arteriosclerosis obliterans of the age of onset in 50 to 70 years. Male patients than females, female patients accounted for only 20%. The earliest symptoms of arteriosclerosis obliterans of the limbs cold, numbness, intermittent claudication. Such as the abdominal aorta of the bottom or iliac artery occlusion, after walking the entire hip and lower limb soreness, fatigue and pain, such as symptoms occur in the leg, suggesting that the femoral artery occlusion. As the disease progresses, limb ischemia increased, toe, foot or leg will be persistent rest pain, more intense at night in a quiet state, patients often hold enough to sit through the night. Limb toe, foot or leg is pale, the lower the temperature, hypesthesia, skin thinning, muscle atrophy, thickening of the nail deformation, bone thinning. Toe, foot or leg ulcers, gangrene, severe ischemia. Especially in diabetic patients more susceptible and easily evolve into wet gangrene and secondary infection, the simultaneous occurrence of symptoms of systemic poisoning. Arteriosclerosis obliterans in patients suffering from foot skin color pale or cyanotic, severe toe black ulceration and necrosis of the dorsal artery of the lower limbs, posterior tibial arteries, the national artery, femoral artery pulse weakened or disappeared, groin femoral artery or umbilical abdominal aorta at auscultation could be heard and vascular murmur, and arteriosclerosis obliterans in patients suffering from pale enough to raise test was positive. Skin nutrition disorders may be associated with the pathogenesis of foot leg, numbness, burning sensation, muscle atrophy, and knee flexion contracture. Patients with arteriosclerosis obliterans mostly associated with systemic atherosclerotic disease syndromes such as coronary heart disease, hypertension, retinal arteriosclerosis. When the arteries with severe stenosis or complete occlusion of the limb arterial pulse weakens or disappear, blood pressure decreased or undetectable, such as occlusion of the lower end of the abdominal aorta or iliac arteries on both sides, bilateral femoral arterial pulse are diminished or disappeared , such as arteriosclerosis obliterans in patients with occlusion of the iliac artery on one side, the side of the femoral artery, popliteal artery, dorsalis pedis artery pulse disappears, such as arteriosclerosis obliterans in patients with occlusion of the femoral artery, the lower end of the femoral pulse palpable, but dorsalis pedis artery and posterior tibial artery is not palpable. Therefore, the surface artery palpation can often be initially identified the site of arterial occlusion, but should pay attention to about 6% of normal dorsalis pedis artery is not palpable and it should be combined with symptoms and other auxiliary examinations to make the diagnosis of arteriosclerosis obliterans. Correct and early recognition of clinical manifestations of arteriosclerosis obliterans, is very important to the treatment of arteriosclerosis obliterans.
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