Department of Vascular Surgery, University of Crete Medical School, Iraklion, Greece.
Med Sci Monit. 2012 Jan;18(1):CS1-3. doi: 10.12659/msm.882184.
Vascular disorders of the upper extremity in young and physically active patients present a complex and challenging problem for the treating physician. Initial presentation may often be subtle and the consequences of misdiagnosis, delayed diagnosis or mistreatment can be severe.
In this report, we discuss a case of a young woman with chronic upper limb ischemia due to an arterial thoracic outlet syndrome in whom even though symptoms persisted over a number of years during which she frequently sought medical consultation, remained undiagnosed until finally presenting with limb-threatening ischemia. Furthermore, due to this delay, the patient was forced to withdraw from her professional carrier in athletics.
A thoughtful and through approach combining the history, physical findings, and use of appropriate diagnostic aids will provide the physician and patient with the greatest opportunity for a satisfactory outcome. Furthermore, a delay in definitive treatment may not only cause health deterioration, but may also incur social, economic and occupational consequences.
上肢血管疾病在年轻且活跃的患者中呈现出复杂且具有挑战性的问题，给治疗医生带来了困难。初始表现可能常常不明显，误诊、延迟诊断或治疗不当的后果可能很严重。
在本报告中，我们讨论了一例年轻女性因动脉胸廓出口综合征导致慢性上肢缺血的病例，尽管她在多年的时间里经常寻求医疗咨询，但症状持续存在，直到最终出现危及肢体的缺血，仍未得到明确诊断。此外，由于这种延误，该患者被迫退出其专业运动员生涯。
通过病史、体格检查和适当的诊断辅助手段的综合应用，医生和患者将有最大的机会获得满意的结果。此外，延迟进行明确的治疗不仅可能导致健康状况恶化，还可能导致社会、经济和职业方面的后果。
