Pokrajac Nicholas, Snyder Brian K
Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
Department of Emergency Medicine, UC San Diego Health System, San Diego, California.
J Emerg Med. 2020 Apr;58(4):e197-e200. doi: 10.1016/j.jemermed.2020.01.014. Epub 2020 Mar 21.
Acute aortic occlusion is a rare condition that requires early diagnosis to help prevent considerable morbidity and mortality. Typical clinical findings, such as acute lower extremity pain, acute paralysis, and absent pedal pulses, may be masked by a variety of underlying medical conditions.
We present a patient with altered mental status, hypothermia, and a large discrepancy between oral and rectal temperature measurements, who was ultimately diagnosed with aortic occlusion. This case report describes a marked difference between oral and rectal temperatures in a case of acute aortic occlusion. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Acute aortic occlusion is a true vascular emergency that, without early intervention, can lead to limb ischemia, bowel necrosis, paralysis, or death. Emergency physicians should consider acute aortic occlusion in a patient with a marked difference between oral and rectal temperature measurements who otherwise has a limited clinical evaluation.
急性主动脉闭塞是一种罕见疾病，需要早期诊断以预防严重的发病率和死亡率。典型的临床症状，如急性下肢疼痛、急性瘫痪和足背动脉搏动消失，可能会被各种基础疾病掩盖。
我们报告一名精神状态改变、体温过低且口腔与直肠温度测量存在较大差异的患者，最终被诊断为主动脉闭塞。本病例报告描述了急性主动脉闭塞病例中口腔温度与直肠温度的显著差异。急诊医生为何应知晓此事？：急性主动脉闭塞是一种真正的血管急症，若不早期干预，可导致肢体缺血、肠坏死、瘫痪或死亡。对于口腔与直肠温度测量存在显著差异且临床评估受限的患者，急诊医生应考虑急性主动脉闭塞。
