Diabetic lower extremity arterial occlusion symptoms?

summary

Arteriosclerosis obliterans of lower extremities is due to the formation of atherosclerotic plaques of lower extremities, resulting in lower extremity artery stenosis, occlusion, and then chronic limb ischemia. Arteriosclerosis obliterans of lower extremities are commonly seen in middle-aged and elderly people, often accompanied by smoking, diabetes, hypertension, hyperlipidemia and other risk factors. The presence and severity of the symptoms of lower extremity arteriosclerosis obliterans are affected by the speed of disease progression, the number of collateral circulation, individual tolerance and other factors. Next, we will specifically introduce the symptoms of diabetic lower extremity arterial occlusion?

Diabetic lower extremity arterial occlusion symptoms?

Clinically, the degree of arteriosclerosis obliterans can be judged according to the temperature and pulse of patients' feet. If the patient's legs and feet are cold, and the pulse is weak or even can't be touched, it means that the condition is serious. In addition, there is a more accurate way to judge the condition - ankle brachial index, or ABI, which is the ratio of lower extremity blood pressure to upper extremity blood pressure.

The severity of clinical manifestations can be divided by fontine stage or Rutherford stage, so as to increase the objective degree of clinical evaluation and make the clinical treatment results more comparable. At present, Rutherford stage is commonly used, which is divided into seven grades from 0 to 6.

Digital subtraction angiography (DSA) is the gold standard for the diagnosis of arteriosclerosis obliterans of lower extremities. It can accurately show the location, extent, degree and collateral circulation of the lesion. Delay phenomenon can evaluate the condition of distal outflow tract. DSA is of great significance for the evaluation of lesions and the choice of surgical methods. At the same time, in hospitals with conditions, endovascular treatment can be performed at the same time of angiography to solve arterial lesions at the same time.

matters needing attention

For lower extremity arteriosclerosis obliterans, it is mainly to strictly control the risk factors of atherosclerosis, such as strict monitoring, control of blood pressure, blood glucose, blood lipid, strict smoking cessation, which can delay the process of atherosclerosis, reduce the incidence of lower extremity arteriosclerosis obliterans, and prevent the occurrence of cardiovascular and cerebrovascular adverse events.