Joy R, Isaacs J L, McCarthy R J
Department of Vascular Surgery, Torbay Hospital, Torquay, UK.
Ann R Coll Surg Engl. 2007 Sep;89(6):W11-3. doi: 10.1308/147870807X227755.
Upper limb digital arterial occlusion is uncommon. We present the case of a 47-year-old man with an ischaemic right middle finger (dominant hand) due to trauma from carrying a heavy plastic shopping bag. Duplex scanning revealed no proximal source of emboli. An angiogram demonstrated occlusions in the medial and lateral digital arteries of the middle digit at the level of the proximal phalanx. Treatment with heparin and warfarin resulted in complete resolution of symptoms.
上肢指动脉闭塞并不常见。我们报告一例47岁男性病例，其因搬运沉重的塑料购物袋受伤，导致右手中指（优势手）缺血。双功超声扫描未发现近端栓子来源。血管造影显示中节指骨近端水平的中指内侧和外侧指动脉闭塞。肝素和华法林治疗使症状完全缓解。
