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冠状动脉造影可引起 Rumpel-Leede 征。

Coronary angiography causes Rumpel-Leede symptoms.

机构信息

BengBu Medical College, Bengbu, China.

Department of Cardiovascular Medicine, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.

出版信息

BMC Cardiovasc Disord. 2022 Jul 25;22(1):332. doi: 10.1186/s12872-022-02767-7.

DOI:10.1186/s12872-022-02767-7
PMID:35879660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9316747/
Abstract

BACKGROUND

Rumpel Leede sign (RLS) is a clinical presentation observed at the extremities due to pressure applied externally. The appearance ranges from scattered pin-point rashes to an entire arm covered with petechial hemorrhage depending upon the severity. This phenomenon is relatively uncommon in clinical practice.

CASE PRESENTATION

A 64 year old female patient developed a rash in the normal skin area below the compression area on the second day of single catheter coronary angiography. The patient's rash resolved without treatment after 3 days.

CONCLUSIONS

We report a case of hypertension and hyperlipidemia with a petechial rash on the skin under the tourniquet compressed by the radial artery after coronary angiography, which is consistent with the Rumpel-Leede phenomenon. clinicians should be watchful of these symptoms.

摘要

背景

Rumpel Leede 征(RLS)是由于外部施加的压力而在四肢观察到的一种临床表现。其表现从散在的针尖大小皮疹到整个手臂布满瘀点出血不等,具体取决于严重程度。这种现象在临床实践中相对少见。

病例介绍

一名 64 岁女性患者在单根导管冠状动脉造影后的第二天,在压迫区域下方的正常皮肤区域出现皮疹。患者的皮疹未经治疗 3 天后自行消退。

结论

我们报告了一例高血压和高脂血症患者,在冠状动脉造影后桡动脉压迫止血带下的皮肤出现瘀点皮疹,符合 Rumpel-Leede 现象。临床医生应注意这些症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/6327f2d54d5f/12872_2022_2767_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/81f40c9b089c/12872_2022_2767_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/376713c51384/12872_2022_2767_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/c4e8df51ff70/12872_2022_2767_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/6327f2d54d5f/12872_2022_2767_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/81f40c9b089c/12872_2022_2767_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/376713c51384/12872_2022_2767_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/c4e8df51ff70/12872_2022_2767_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ae/9316747/6327f2d54d5f/12872_2022_2767_Fig4_HTML.jpg

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本文引用的文献

1
Rumpel-Leede Phenomenon After Radial Artery Catheterization.桡动脉置管后出现的勒-李二氏现象。
Circ Cardiovasc Interv. 2018 Apr;11(4):e006507. doi: 10.1161/CIRCINTERVENTIONS.118.006507.
2
Rumpel-Leede Sign After Coronary Angiography.冠状动脉造影后的束臂试验阳性
Dtsch Arztebl Int. 2018 Feb 9;115(6):82. doi: 10.3238/arztebl.2018.0082.
3
Images in clinical medicine. Rumpel-Leede sign.临床医学影像。束臂试验阳性体征。
桡动脉置管后出现的勒-李二氏现象。
Eur J Case Rep Intern Med. 2023 Jul 14;10(8):003990. doi: 10.12890/2023_003990. eCollection 2023.
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Rumpel Leede phenomenon.束臂试验现象
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The tourniquet test and screening for diabetic retinopathy.止血带试验与糖尿病视网膜病变筛查。
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The Rumpel-Leede sign associated with a noninvasive ambulatory blood pressure monitor.与无创动态血压监测仪相关的束臂试验(鲁尔米-利德征)
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