Introduction to the examination and treatment of bilateral lower limb arteriosclerosis

When it comes to cardiovascular and cerebrovascular diseases, many friends think that it will only cause problems with the heart and brain. In fact, if there is a problem with the blood vessels, even the lower limbs may be affected, leading to the occurrence of arteriosclerosis in both lower limbs. Arteriosclerosis of both lower limbs usually occurs in people over 60 years old and is closely related to blood vessel blockage. In order to avoid the harm of arteriosclerosis of both lower limbs to the elderly at home, it is very important to understand the examination and treatment methods of arteriosclerosis of both lower limbs.

In the diagnosis of lower limb arteriosclerosis obliterans, it is necessary to differentiate it from some diseases. Lower limb arteriosclerosis obliterans is often a local manifestation of systemic arteriosclerosis, so many patients may have combined arteriosclerotic lesions in other important organs, such as coronary artery disease, cerebral arteriosclerosis, etc. Serious complications such as myocardial infarction, cerebral hemorrhage or cerebral thrombosis may occur at any time during the course of the disease. The prognosis is worse than that of other chronic arterial occlusive diseases such as thromboangiitis obliterans. If accompanied by diabetes, the prognosis is also poor.

Arteriosclerotic occlusion is an organic disease, and there is still no drug that can restore elasticity and reopen the diseased arteries. For the treatment of lower limb arteriosclerosis, vasodilators can be used in the early stages to promote the formation of more collateral circulation. Some Chinese medicines can also be used as an auxiliary to relieve symptoms. It should be noted that in clinical practice, many patients have lost precious treatment opportunities due to their focus on traditional Chinese medicine treatment, resulting in limb necrosis and ultimately having to undergo amputation. This cannot be taken lightly!

The main function of the drugs currently used is to stop the further development of the disease, improve the collateral circulation of the affected limb, relieve pain, promote ulcer healing, and avoid amputation. However, if symptoms are severe, surgery should be considered. Once a patient develops intermittent claudication and arteriography confirms severe stenosis of the lower limb arteries (the diameter is less than 50% of the normal diameter), surgical treatment is required. When accompanied by severe rest pain or toe ulcers and gangrene, surgical treatment is more necessary.

This article will introduce the examination and treatment of bilateral lower limb arteriosclerosis. I would like to remind all friends that because patients with bilateral lower limb arteriosclerosis are relatively old, they often do not want to undergo surgical treatment, which will only make the condition worse. However, surgery also needs to consider the patient's overall physical condition. Please do not treat it blindly.