1一般资料患者,女性,78岁,因高血压入院。主诉:左侧手指瘙痒、麻木20余天,末端颜色略青紫,皮肤温度低于正常,疼痛2 d。查体:⑴体温正常;⑵左侧上肢血压未测出;⑶左侧手指屈伸活动正常,桡动脉、尺动脉搏动减弱;⑷右侧上肢血压为150/100 mm Hg(1 mm Hg=0.133 k Pa),皮肤温度低于正常,触觉、痛觉正常;⑸右侧前臂温度低于正常;⑹右侧手的皮肤温暖、感觉和活动 1 General Information Patient, female, 78 years old, hospitalized due to high blood pressure. The main complaint: the left finger itching, numbness more than 20 days, the end of the color slightly purple, the skin temperature is lower than normal, pain 2 d. Physical examination: ⑴ body temperature was normal; ⑵ left upper limb blood pressure was not detected; ⑶ left finger flexion and extension of normal activities, radial artery, ulnar artery pulsation weakened; ⑷ right upper limb blood pressure was 150/100 mm Hg (1 mm Hg = 0.133 k Pa), skin temperature is lower than normal, tactile, normal pain; (5) right forearm temperature is lower than normal; ⑹ right hand skin warmth, feeling and activity