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Peripheral Arterial Occlusive Disease, PAOD

Key words: P.A.O.D.
Preface:
常見於患有Diabete Mellitus之患者
病患常就診的科別:PS, CVS, NEP, META
Key point:
1. Fantaine classification
2. 6P, six common symptoms
3. Diagnosis tool CT
4. Surgical indication

*Symptoms & signs:
6P=
(1)冰冷Poikilothermia or cold
(2)蒼白Pale or Pallor
(3)疼痛Pain
(4)麻木Paralysis
(5)感覺異常Parathesia
(6)無脈搏或脈搏微弱Pulselessness
參考 http://blog.roodo.com/totororo/archives/10939385.html

*Classification
症狀分級:依血管阻塞的程度,分為四個等級:
Stage I:無症狀,ABI<0.9→去除/改善危險因子、非藥物治療。
Stage IIA:輕微間歇性跛行→開始藥物治療。
Stage IIB:嚴重間歇性跛行→介入性治療。
Stage III:休息或夜間腳痛。
Stage IV:足部皮膚壞死、壞疽、潰瘍或傷口不癒→清瘡、截肢。
參考 http://blog.roodo.com/totororo/archives/10939385.html

*History
*Risk factor
*Non-surgical treatment
*Surgical treatment
–*Pre-operation evaluation
–*Post-operation evaluation

其他參考

http://www.standard.com.tw/life/book/book_detail.asp?perClass=2&perPK=70&artPK=501

http://www.kmu.edu.tw/~kmcj/data/9006/4733.htm

類別:小醫生手札
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