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首頁> 美國衛(wèi)生研究院文獻>Pediatric Reports >Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and His Family
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Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and His Family

機譯：大規(guī)模動脈血栓形成導致下肢嚴重缺血顯示需要截肢的急性髓樣白血?。号c患者及其家人溝通的臨床和情感方面

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摘要

Large vessel thrombosis is a very rare clinical presentation of acute leukemia, generally associated with coagulopathy, usually characteristic of acute promyelocytic leukemia. A 13- year-old boy with a previously undiagnosed acute myeloid leukemia was referred to our hospital with acute ischemia of the right lower limb due to occlusion of the right external iliac artery, treated with emergency double surgical thromboembolectomy and chemotherapy. The thrombotic complication resulted in leg amputation. Now the boy is well in complete remission, with a good social integration and quality of life, 30 months after completing treatment. The report highlights the crucial role of early diagnosis and subsequent chemotherapy in avoiding amputation. We particularly focused critical and emotional aspects related to the communication about the leg amputation with the patient and his family.
機譯：大血管血栓形成是急性白血病的一種非常罕見的臨床表現(xiàn)，通常與凝血病有關，通常是急性早幼粒細胞白血病的特征。一名先前未診斷為急性髓細胞性白血病的13歲男孩因右外動脈閉塞而被轉(zhuǎn)診至我的右下肢急性缺血，并接受了緊急雙重外科手術血栓栓塞切除術和化療。血栓并發(fā)癥導致截肢。現(xiàn)在，男孩在完成治療30個月后，完全可以緩解，并具有良好的社交能力和生活質(zhì)量。該報告強調(diào)了早期診斷和后續(xù)化療在避免截肢中的關鍵作用。我們特別關注與患者及其家人進行有關截肢的溝通有關的關鍵和情感方面。

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