Santistevan Jamie R
Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA; Emergency Department, Beloit Memorial Hospital, 1969 W Hart Road, Beloit, WI 53511, USA.
Emerg Med Clin North Am. 2017 Nov;35(4):889-909. doi: 10.1016/j.emc.2017.07.006. Epub 2017 Aug 23.
Acute limb ischemia is a medical emergency with significant morbidity and mortality. Rapid diagnosis is required because it is a time-sensitive condition. Timely treatment is necessary to restore blood flow to the extremity and prevent complications. The differential diagnosis of acute limb ischemia is broad. Classification of severity of acute limb ischemia is based on clinical variables. A suspicion of acute ischemia based on history and physical examination warrants heparin administration and vascular surgery consultation. The decision for endovascular thrombolysis or standard surgery depends on etiology, duration, and location of vascular occlusion. This review evaluates the diagnostic approach and management for acute limb ischemia.
急性肢体缺血是一种具有较高发病率和死亡率的医疗急症。由于它是一种对时间敏感的病症，因此需要快速诊断。及时治疗对于恢复肢体血流并预防并发症是必要的。急性肢体缺血的鉴别诊断范围广泛。急性肢体缺血严重程度的分类基于临床变量。基于病史和体格检查怀疑急性缺血时，需要给予肝素并咨询血管外科。选择血管内溶栓还是标准手术取决于血管闭塞的病因、持续时间和部位。本综述评估了急性肢体缺血的诊断方法和治疗。
