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厨师小腿被蚊子叮一口溃烂一年 原是静脉曲张惹的祸

2017-07-11 10:46:22   长江日报

小腿被蚊子叮了一下,因为太痒忍不住抓破了皮,结果左小腿部位的皮肤溃烂了1年,一直不愈合。近日,37岁的厨师赵师傅去医院就诊才知道,“烂腿”原来与下肢静脉曲张有关。

赵师傅在武汉一家餐馆当厨师,干这行已有17年,每天要站十几个小时烧菜。6年前,他发现双小腿有不少青筋凸起,像爬着蚯蚓一样,没有疼痛感,也就没在意。这两年,他经常感觉腿像灌了铅一样沉重,但总以为是工作累了。

去年夏天,赵师傅睡觉时,左小腿被蚊子叮了一下,瘙痒难耐,忍不住用手去抓挠,还抓破了皮。奇怪的是,被蚊子叮咬的部位两个多月都不见好,后来发生溃烂,并且溃烂面积不断扩大。赵师傅去药店买了药膏涂抹,又去医院皮肤科看过,但一直没治好。

上周,赵师傅看着腿上的皮肤溃烂面积越来越大,吓得赶紧到医院就诊。市中心医院血管外科医生奉海军检查发现,他的左小腿有一约4厘米×5厘米的溃疡面,有渗液流出。奉海军询问病史了解到,赵师傅患有静脉曲张6年了。由于局部血液循环不畅,导致皮肤营养障碍,组织修复能力下降,皮肤破损后就不易愈合。10日,医生给他做了激光手术,彻底解决了下肢静脉曲张问题。

该院血管外科主任何涛介绍,厨师、教师、商场营业员等长期久站的职业人员,都是下肢静脉曲张高发人群。该病早期症状不明显,很多人觉得没有不适或症状轻微就没有及时治疗。殊不知,下肢静脉曲张随着病情的发展,会引起皮肤色素沉着、慢性溃疡病变、血栓性静脉炎,严重的会导致皮肤溃烂坏死。

据介绍,每到夏季,会出现下肢静脉曲张患者就诊高峰。不少女性因为小腿青筋凸起不敢穿裙子,为了腿部美观进行手术。另外,夏季人体血液循环加快,静脉曲张患者病情容易加重。

专家提醒,下肢静脉曲张患者夏季要避免碰撞或蚊虫叮咬,被叮咬后不要用力抓挠,以免出现皮肤破损感染、血管破裂等并发症。如果出现“蚯蚓腿”,并伴有小腿瘙痒、酸胀等症状时,要及时到医院治疗。预防下肢静脉曲张,平时要避免久站、久坐。需要长期站立的人,可穿戴医用弹力袜来缓解下肢静脉曲张。

责任编辑:都基强 CN065
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