摘要
目的 探讨下肢动脉阻塞性疾病误诊为神经疾病的原因及其与相关疾病鉴别的要点。方法 分析总结9例经Doppler超声、血管造影、手术等确诊为下肢动脉阻塞性疾病的发病形式、临床特征。结果 急性动脉阻塞组误诊脊前动脉综合征2例、周围神经病2例、脑梗死3例。慢性动脉阻塞组误诊腰椎管狭窄综合征伴腰骶神经根病1例.脊髓蛛网膜炎1例。结论 下肢动脉阻塞性疾病可以在早期出现与神经疾病相似的某些症状,应掌握其临床特征、进行筛选性的辅助检查,以便与神经疾病鉴别。
Objective To discuss the cause for misdiagnosing lower extremity arterial occlusive disease as neurological disease and the key points of differential diagnosis. Methods The clinical features and incidence pat-terns of 9 cases of lower extremity arterial occlusive disease who were finally diagnosed by ultrasonic , angiography and operation were analyzed. Results There were two cases misdiagnosed as prospinal arterial syndrome, two cas-es peripheral neuropathy and three cases cerebral infarction in acute artery occlusion group. 1 case respectively was misdiagnosed as lumbar spinal stenosis, lumbosacral radiolopathy and myel-arachnoiditis in chronic arterial occlu-sion group. Conclusion Because the lower extremity arterial occlusive disease is easily confused with some neuro-logical diseases,it is necessary to familiarize with the clinical characteristics at early stage and choose screening ex-amination for differential diagnosis.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2002年第4期240-242,共3页
Journal of Apoplexy and Nervous Diseases
关键词
下肢动脉阻塞性疾病
神经疾病
误诊
诊断
: Lower extremity arterial occlusive disease
Neurological diseases
Misdiagnosis
