Amin Manish, Torres Angela, Aguìñiga-Navarrete Phillip, Quesada Daniel, Jerome Jason P, Jones Amber
Kern Medical Center, Department of Emergency Medicine, Bakersfield, California.
LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California.
Clin Pract Cases Emerg Med. 2020 Jan 23;4(1):85-87. doi: 10.5811/cpcem.2019.11.45224. eCollection 2020 Feb.
Literature on ulnar artery thrombosis and acute finger ischemia is scant and usually related to underlying hypercoagulable or occlusive states, such as atrial fibrillation, thrombangiitis obliterans, vasospasm, trauma, and neurovascular compression at the root of the upper limb. An elderly hypertensive male without an underlying hypercoagulable state, and in otherwise good health, presented to our emergency department with acute multi-finger ischemia, and ulnar artery and palmar arch thromboses. Given his innocuous history, this case demonstrates the importance of maintaining acute arterial thrombosis on the differential for hand pain despite the obvious propensity toward mechanical injuries in the extremities.
关于尺动脉血栓形成和急性手指缺血的文献较少，且通常与潜在的高凝或闭塞状态有关，如心房颤动、血栓闭塞性脉管炎、血管痉挛、创伤以及上肢根部的神经血管受压。一名老年男性高血压患者，无潜在的高凝状态，身体其他方面健康，因急性多手指缺血、尺动脉和掌弓血栓形成前来我院急诊科就诊。鉴于其病史无特殊，该病例表明，尽管四肢明显倾向于发生机械性损伤，但在手部疼痛的鉴别诊断中，仍需考虑急性动脉血栓形成的可能性。
