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50岁老板走路突发腿痛却被截肢,腰椎间盘突出表示不背锅!只因错过黄金6小时

2021-02-08 劝你正规就医的 浙大一院

走路动不动就腿痛

走路动不动就腿痛

是腰椎间盘突出在“作妖”?

那就及时手术“收妖”!

然而解决了腰椎间盘突出的问题

这条跛行的腿最终还是保不住了!

这是一个什么样的魔幻故事???

来自安吉的刘老板(化名)在知非之命的50岁

失去了一条左腿

关于这一条腿的“出走”

刘老板午夜梦回

都哭醒在无尽的悔恨中

也给他留下了余生刻骨铭心的警醒:

平时健康生活,不舒服及时到正规医院就诊!

50岁小厂老板突发走路跛行,

私立医院一查:腰椎间盘突出!

50岁的刘老板在安吉当地经营着一家窗帘厂,虽说企业规模不大,但收益稳定,刘老板在当地也算是有头有脸的小企业家,经常出席在各种饭局,烟酒不离身。

“烟酒是戒不掉的,但我保证每年按时去体检。”多次面对爱人的劝说,刘老板找了当地一家环境服务甚好的私立医院,每年在那进行体检,“钱要赚,身体也要顾牢的。”

一个月前,刘老板发现自己走路的时候,左小腿有点隐痛,并且连带脚指头也隐隐作痛,“不会是痛风发作了吧?我看网上说喝酒的人容易痛风。”刘老板立马联系了每年体检的私立医院做检查,检查结果他并没有痛风,却查出说是腰椎间盘突出导致的,建议做个手术。

腰椎间盘手术很顺利,术后两周后,刘老板不仅觉得左小腿没有缓解疼痛,并且从隐痛变成了剧痛难耐,并且在被窝里左脚的脚指头一直热不过来,整夜痛得睡不着。

“去大医院看看吧。”刘老板在爱人的陪同下,一起到安吉县人民医院(浙江大学医学院附属第一医院安吉分院)就诊,当地医生发现刘老板的左小腿连脉搏搏动消失了,脚趾发黑,立马建议到杭州的浙江大学医学院附属第一医院总部一期血管外科治疗,“赶紧去,别再拖!您这脚大概率是保不住了。”

“医生,我想保腿!”

无奈被耽误的腿留不住!

“左腿动脉血管堵死了,而且还堵了三处。”浙大一院血管外科吴子衡副主任医师接诊了这位安吉赶来的患者,根据血管CT检查结果,他耐心跟刘老板说明尽管他的确存在腰椎间盘突出的毛病,但左下肢疼痛并不是因为腰椎间盘突出引起的,而是左腿动脉堵塞导致的,大腿根部、膝盖水平、膝盖以下三处的血管都分别有堵塞。“您看您现在脚指头都是黑的了,那是因为血管堵塞急性缺血导致的。”

“医生,我这条腿还能保住吗?我才50岁,不管花多少钱我都想要保腿。”吴子衡副主任医师表示,像刘老板这位患者的情况,如果血管急性栓塞超过6小时,肌肉就开始出现坏死,一般超过24小时后截肢率明显升高。但由于患者保肢意愿很强烈,血管外科主任吴子衡副主任医师与骨科专家一起尝试为刘老板保肢,首先急诊取出大腿动脉内的血栓,然后二期截掉明确坏死感染的脚指头,以免感染扩大。

脚指头一个个被截掉,但情况并未好转,因为刘老板就诊时间过晚,以及截掉脚指头的地方需要良好的血液循环来帮助伤口愈合,但他肢端血液循环差,并不能给伤口愈合提供好的条件。

“为了您的安危,我们还是建议膝下截肢,不然感染扩大至全身,会有生命危险。”百般无奈下,刘老板只好接受这个现实,他的左小腿从膝盖下15公分处被截肢。

“老婆,我左边的小腿好痛,痛得睡不着觉。”截肢手术后的刘老板出现了“幻肢痛”,时常在睡梦中哭醒,喊着要找自己的腿。

“当时要是及时到正规大医院检查,这腿也就保住了。”刘老板清醒的时候,时常跟自己家人念叨这句话。

好的血管流水不腐,

这种坏习惯容易堵血管!

“虽然这个患者血压、血脂不算高,但平时生活习惯不太健康,一天一包烟打底,餐餐要喝酒,食肉如命。”吴子衡副主任医师表示,像这样的不良习惯时间久了,就会让人体内的血液粘稠度升高,特别容易引起血块(血栓),血栓随着血管流动,就堵在血管里,导致血液流不过去,营养成分输送不过去,造成失血,肌肉无法正常运动,最终坏死。

高血压、高血脂、高血糖人群注意了!冬季天气寒冷,血管会呈现收缩状态,继而血压就会增高,血流就缓慢,更容易引发血栓。虽然很多人起初可能没有什么明显症状,但一旦出现症状,时间就很紧迫,如果及时“打通”堵塞的血管,那么肢体还有机会保住,要是下肢血管堵塞超过24小时,截肢率就很高。

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    2022-01-03 cqlidoudou
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    2021-02-08 ms8000000903832600

    到大医院看病,病不可掉以轻心

    0

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