Leriche's Symdromes：主動脈腸骨動脈阻塞導致下肢急性癱瘓之病例報告

Leriche's Syndrome: Aorto-iliac Occlusion Disease Leading to the Sudden Onset of Paraplegia and Acute Abdominal Pain

林森山(Sen-Shan Lin) ； 周楠松(Nan-Son Jo) ； 連振東(Jenn-Don Lian)

《台灣急診專科醫師期刊》 3卷1期 (2011/03) Pp. 18-23

https://doi.org/10.29749/JTCEP.201103.0004

摘要

主動脈腸骨動脈阻塞(Aorto-iliac Occlusion Disease, AIOD)大都發生在五十歲以上合併有動脈硬化之患者；因為此症初期，並無明顯之症狀，所以其發生率往往被低估。本文報告一位長期罹患糖尿病之抽煙病患，因急性主動脈腸骨動脈阻塞而造成突發性下肢癱瘓，患者經本院急診迅速診斷及心血管外科緊急手術治療而免除截肢之案例。希藉以提醒臨床醫師此病症之存在，如有發現患者出現類似症狀時，當儘速採取較積極之治療方式，以減少其致病率。

關鍵字

動脈硬化 ； 主動脈腸骨動脈阻塞 ； 周邊動脈阻塞 ； 動脈內血栓切除術 ； 腋股動脈繞道術 ； 經皮導管血管成形術

並列摘要

Aorto-iliac occlusion disease (AIOD) frequently occurs in patients with atherosclerosis who are older than 50 year-old and the real prevalence seems to be always underestimated. A smoking habit and diabetes melitus are the two major risk factors for the disease. We presented a case of AIOD who attended our emergency department (ED) that led to the acute onset of paraplegia and severe abdominal pain. Prompt ED diagnosis and surgical intervention was able to successfully prevent the need for amputation with this patient. We wish to remind emergency physicians of the presence of this disease and the need to take a more aggressive altitude towards its treatment in order to lower morbidity.

並列關鍵字

atherosclerosis ； aorto-iliac occlusion disease ； peripheral arterial occlusion disease ； thrombo-endarterectomy ； axillo-femoral bypass ； percutaneous transluminal angioplasty