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一位50岁的小学教师,3年前不明原因的下肢酸痛,以小腿为重,伴疲劳感,后疼痛逐渐加重,呈弥漫性、持续性,并见小腿皮肤颜色加深,严重时行走困难。他曾到过多家医院就诊,均诊断为脉管炎,用了多种中西药治疗均无明显好转。患者终日焦虑不安,后进行下肢节段性血管测压,结果;踝/肱指数大于1,下肢顺行深静脉造影显示通畅而排除了脉管炎,即进行腰部神经根阻滞,结合活血化瘀中药治疗,一个月后症状完全消失。
A 50-year-old primary school teacher, 3 years ago, unexplained lower extremity soreness, with the lower leg, with fatigue, the pain gradually increased, was diffuse, persistent, and see the color of the lower leg skin, severe walking difficulties. He has been to many hospitals for treatment, were diagnosed with vasculitis, with a variety of Chinese and Western medicine treatment were no significant improvement. Patients with anxiety all day, after the lower extremity vascular compression, the results; ankle / brachial index greater than 1, paralysis of lower extremity deep venous angiography showed patency and ruled out vasculitis, that lumbar nerve root block, combined with blood circulation Stasis medicine, a month after the symptoms completely disappear.