DiGiovanni R J, Crilley P, Kerstein M D
Allegheny University Hospitals/Allegheny University of the Health Sciences, Medical College of Pennsylvania/Hahnemann University, Philadelphia 19102-1192, USA.
Cardiovasc Surg. 1999 Mar;7(2):258-60. doi: 10.1016/s0967-2109(98)00043-x.
A 16-year-old Caucasian teenager developed fatigue, abdominal pain, pneumonia, and subsequently acute vascular occlusion of the left superficial femoral artery. Vascular assessment and heparin therapy lead to bone marrow aspiration and a diagnosis of acute promyelocytic leukemia. Treatment with chemotherapy prevented loss of limb and avoided further vascular surgery. Young patients with acute vascular occlusion require an in-depth assessment including attention to hematological disorders. Clots obtained on thromboembolectomy should be sent for pathological assessment and not discarded, especially in an unusual-age patient for arterial embolus.
一名16岁的白种青少年出现疲劳、腹痛、肺炎，随后左侧股浅动脉发生急性血管闭塞。血管评估和肝素治疗导致进行骨髓穿刺，并诊断为急性早幼粒细胞白血病。化疗治疗避免了肢体丧失，也避免了进一步的血管手术。急性血管闭塞的年轻患者需要进行深入评估，包括关注血液系统疾病。血栓切除术取出的血栓应送去做病理评估，而不应丢弃，特别是对于动脉栓塞的非典型年龄患者。
