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.
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.
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。
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