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为了治疗偏头痛而过量应用或滥用酒石酸麦角胺可引起下肢动脉痉挛,从而导致足和趾严重缺血和濒临坏疽状态。文献上已有数例报道,但无一例涉及单侧下肢。本文报道一单侧下肢发病并以心痛定(硝苯吡啶)成功治愈的病例。病人女性53岁,不吸烟。因左腓肠肌间歇性跛行数月,新近左足趾严重疼痛而入院。除了慢性重度偏头痛一直在使用酒石酸麦角胺每日一栓剂达十年之久外,无其它疾病。体检发现左足凉、紫、左腘动脉及其远侧动脉搏动消失。多普勒波型不正常,胫后动脉
Excessive application or abuse of ergotamine tartrate for the treatment of migraines can cause arterial spasms in the lower extremities resulting in severe ischemia of the foot and toe and on the verge of gangrene. Several cases have been reported in the literature, but none of them involves unilateral lower limbs. This article reports the incidence of unilateral lower extremity and nifedipine (nifedipine) successfully cured cases. The patient is 53 years old and does not smoke. Due to intermittent claudication of the left gastrocnemius muscle for several months, the newly diagnosed left toe was admitted with severe pain. In addition to chronic severe migraine has been using ergotamine tartrate suppository a day for ten years, no other diseases. Physical examination found left foot cool, purple, left 腘 artery and distal artery pulse disappeared. Doppler wave is not normal, posterior tibial artery