How long does phlebitis take to develop to necrosis

Phlebitis (thrombophlebitis) refers to acute aseptic inflammation of the veins and blood vessels. Depending on the location of the lesion, phlebitis can be divided into superficial phlebitis and deep phlebitis. A small number of patients may have fever, elevated white blood cell count, and often complain of pain and swelling.

There are many causes of venous thrombosis, such as trauma, surgery, pregnancy, childbirth, heart disease, malignant tumors, oral contraceptives and long-term standing, squatting, sedentary, lying for a long time, etc., and the disease is more commonly caused by surgery.

The clinical development process of Buerger's disease is divided into three stages.

In the initial stage (ischemic stage), the affected limb is numb, cold, cold, heavy, pin-like pain in the toes, spasmodic pain in the calf muscles, intermittent claudication, weak or absent arterial pulses in the affected limb, migratory superficial phlebitis, and no significant systemic symptoms.

In the middle stage (dystrophic stage), the affected limb is numb, cold, cold intolerance, intermittent claudication worsens, and there is rest pain. The affected limb is often flushed, purplish red or pale, the foot is dry, peeling, the toenail grows slowly, thickens and deforms, the hair falls out, the calf muscles are atrophied, and the arterial pulse of the affected limb disappears. There may be emotional restlessness, dizziness, low back pain, and weakness of muscles and bones.

In the later stage (necrotic stage), ulceration or necrosis of the affected limb due to severe circulatory disorders, most of which are confined to the toes or feet, and rarely spread upward to the ankle or lower leg. The pain is severe and unbearable, and the patient often sits with his knees crossed, beats his chest and feet, screams, and is in pain. After the toe of gangrene falls off, it often leaves an ulcer that does not heal for a long time.

The whole body is often accompanied by fever, dry mouth, loss of appetite, insomnia, constipation, yellow urine and other symptoms.

Vasculitis is mostly seen in the cold areas of the north, mostly in the lower limbs, and the invaded arteries are cord-like for a long time, forming thrombus blockage, causing limb blood circulation disorders, ischemia and hypoxia of local tissues, and even ulceration and gangrene. According to these symptoms, if you find that the limbs are cold, cold-sensitive, pale, numb, painful and other discomforts, you should go to the hospital for examination in time.

The concept of vasculitis is not very consistent with Western medicine, which blames most vascular diseases and limb vascular diseases on vasculitis, which refers to thromboangiitis obliterans, which is an inflammatory lesion of small blood vessels. Because the lesion is a small blood vessel, including arterioles and venules, there are inflammatory lesions, which is more difficult, and Western medicine currently includes surgical bypass and minimally invasive intervention, which is not good for thromboangiitis obliterans, and it is very easy. A better method, one is the drug, a variety of blood-activating, antiplatelet, vasodilator drugs, the purpose is to form a rich collateral circulation around the lesion, that is, the main capillary path can not be opened, the auxiliary road is more, the intestinal tract is more, and the distal tissue will not produce obvious ischemia, so as to achieve the goal.

In recent years, relatively new methods, such as angiogenesis, stem cell transplantation or gene drugs, injections, can significantly alleviate the symptoms of Buerger's disease.

Vasochoangiitis obliterans is a common chronic occlusive inflammatory lesion of peripheral vessels. It mainly affects the middle and small arteries and veins of the extremities, but is most common in the lower extremities, and occasionally affects the mesentery, cerebrovascular, and coronary arteries. It is recommended to go to a regular professional hospital as soon as possible**.

It is better to eat more fresh vegetables, fruits, whole grains, legumes, especially green vegetables, kelp, sea stingers, seaweed, fungus, onions, garlic, etc.

Thromboangiitis obliterans is characterized by chronic aseptic inflammation of the walls of small and medium-sized arteriovenous vessels, resulting in thickening and narrowing of blood vessels, and secondary thrombosis, causing vascular occlusion and ischemic symptoms. Although it is not clear, most patients have a common background: male, young adults, living in a cold environment, long-term smoking, etc.

Question analysis of the missing grandson stool:

Hello, judging from the description, there is currently vasculitis, ** the appearance of black-brown limbs indicates that the affected limb has obvious ischemic damage, and the mentioned tissue necrosis.

Suggestion: Kaishan.

It is suggested that at present, it is necessary to carry out local disinfection and dressing change, and at the same time, it can be combined with Fulu Chinese medicine to clear heat and detoxify, such as the addition and subtraction of Simiaoyong An Tang, etc., I wish you good health.

Superficial thrombophlebitis of the extremities manifests as local redness, swelling, and pain in the affected limb, with painful cord-like stiff bars or bead-like nodules palpable. deep vein involvement, depressed swelling of the affected limb, worsening swelling and pain during walking, relieved after lying still, dark red color, extensive varicose veins and telangiectasias; In later stages, there are local dystrophic changes with stasis dermatitis, hyperpigmentation, or superficial ulcers.

At such an age, it is considered to be arteriosclerosis, not necessarily vasculitis. If you can't do it, just amputate your leg. The elderly must also have several diseases, and it is dangerous to use home remedies.

Vasculitis is medically called thromboangiitis obliterans, vasculitis is more common in young and middle-aged men, mostly accumulates limbs, is an arterial disease whose cause is not clear, resulting in small and medium-sized arteriolar inflammatory lesions until blood vessel narrowing or even occlusion. Vasculitis is generally thought to be related to sex hormones, cold, dampness, smoking, autoimmunity, and other factors. In the early stage of vasculitis, the patient's symptoms are limb numbness, soreness, sensitivity to cold, intermittent claudication, the symptoms at this stage are easy to be confused with the lumbar intervertebral disc pressing close to the sciatic nerve, and in severe cases, intermittent claudication, aggravated pain, completely unable to sleep, dorsalis pedis artery, posterior tibial artery disappears, if this time is not appropriate, it is very easy to ulcerate, and the wound is not easy to heal after ulceration, causing limb necrosis, and then there will be a risk of amputation.

Vasculitis generally occurs in young adults, and the arteries of the lower limbs are more common, which can be manifested as coldness and numbness of the lower limbs, intermittent rupture, pain and numbness of the feet or calves after walking for a certain distance, and the walking distance is getting closer and closer with the aggravation of the disease. Decreased or absent arterial pulses in the distal extremities. It can be unilateral or bilateral, and is closely related to smoking.

Typical manifestations of vasculitis are:

1. Pain: The symptoms of vasculitis are pain, and patients will feel soreness and pain in their calves or soles when walking a certain distance at a certain speed, and they are forced to rest or walk slowly to relieve it. In the later stages of vasculitis, there is persistent pain, especially at night.

2. Chills and paresthesia: The symptoms of vasculitis appear mainly because the nerve endings are slightly affected by ischemia.

3. Weakening or disappearance of arterial pulse: After the occurrence of vasculitis, with the continuous development of the disease, the pulse of the dorsum of the foot and the posterior tibial artery disappears or weakens, and at the same time, patients with vasculitis will have symptoms such as dryness, rupture, sweat stopping, no hair, nail thickening and deformation, and paronychia.

4. **Color change: After the occurrence of vasculitis, the patient will be abnormally pale due to arterial ischemia, and due to the reduction of superficial venous tone, **On the basis of paleness, there will also be flushing or bruising, and these symptoms will be more obvious when the limbs are drooping.

5. Gangrene and ulcers: After the occurrence of vasculitis, if the patient is not timely, or mistreated, traumatized, hot compress, etc., it is easy to form ulcers and dry necrosis, and if it is not timely, it will also cause the consequences of amputation. It is recommended to go to a professional hospital for blood surgery in time.

Buerger's disease is a rare chronic segmental inflammatory disease of arterioles and veins, and is more common in the lower limbs. Presents with ischemia, pain, intermittent claudication, decreased or absent dorsalis pedis pulse, migratory superficial phlebitis, and in severe cases, acral ulceration and necrosis.

The disease is more common in young adults and is more common in the lower limbs. The affected limb presents temporary or persistent pallor, cyanosis, burning and tingling pain, the skin color of the affected limb becomes red when it hangs, it becomes white when lifted, followed by numbness of the toes, pain in the calf muscles, irritation when walking, and disappearance at rest; Superficial phlebitis and edema often occur in the lower legs. On examination, dorsalis pedis pulse is diminished or absent.

As the disease progresses, intermittent claudication and Raynaud's phenomenon may occur, pain worsens at night, and pain in the toes is severe, cyanosis, and then ulceration or gangrene at the end of the toes and blackening, which gradually spreads to the proximal end.

The main manifestations of the early symptoms of vasculitis are: (1) coldness, cold intolerance, numbness and paresthesia in the limbs, especially the toes, are common early symptoms; (2) Pain is the main symptom of the disease, which is manifested as: intermittent claudication Rest pain: When arterial ischemia is severe, the pain in the affected limb is severe and persistent, and the pain does not stop at rest, and it is difficult to sleep all night.

Even if the toe is ulcerated and infected, the pain is more severe.

Then you have to pay attention to see if it is vasculitis! If it's vasculitis, it's more troublesome, the sooner the better, I know that there is a hospital in Xi'an that specializes in vasculitis, Xijing Traditional Chinese Medicine Hospital, in Tumen New Market, you can go there to consult, our relatives were cured there.