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上肢闭塞性动脉硬化少见,与心绞痛同时发生者更少见。笔者遇见一例并发于心绞痛的左上肢闭塞性动脉硬化,误诊为心绞痛放射性左上肢痛,延误治疗,患者致残。病例:女性,66岁,农民。患者于1日前出现左胸间歇性绞痛,难以忍受,约5分左右缓解,共发作5次,伴有左前臂及手指持续性疼痛,阵发性加剧。被诊为“心绞痛”,投以“消心痛”治疗未见好转,于1984年1月17日上午10时来本院就诊。患者29年前出现高血压(150～180/100～120mmHg),3年前胸透发现左室肥大。体检:T37℃。P100次/分。R24次/分。BP165/
Upper extremity occlusive arteriosclerosis is uncommon and more common with angina pectoris. The author met with an example of concurrent occlusion of atherosclerotic left upper extremity arteriosclerosis, misdiagnosed as angina left upper limb pain radioactive, delayed treatment, the patient disabled. Case: Female, 66 years old, farmer. Patients in the first day before the left chest intermittent angina, unbearable, about 5 minutes or so, a total of 5 episodes, accompanied by persistent pain in the left forearm and fingers, increased paroxysmal. Was diagnosed as “angina”, voted to “eliminate heartache” treatment did not improve, at January 10, 1984 at 10 o’clock in the hospital. The patient developed hypertension (150-180 / 100-120 mmHg) 29 years ago and left ventricular hypertrophy 3 years earlier. Physical examination: T37 ℃. P100 beats / min. R24 times / min. BP165 /