Strictly speaking, vascular surgery should be called peripheral vascular surgery. It is responsible for diseases that occur in the blood vessels of the circulatory system other than the heart, such as atherosclerosis, arterial stenosis, arterial dilatation such as aneurysm or entrapment, venous thrombosis, varicose veins, and a variety of vascular malformations, and also includes diseases that can be treated by vascular intervention. If you experience any of the following symptoms, it is recommended that you visit the Vascular Surgery Department to check for vascular disease. Cold, numbness and pain in the limbs, including cold and fear of cold, numbness and discomfort in the limbs, as well as pain after limb activities, pain after limb activities is also known as “intermittent claudication”, that is to say, the soreness and pain in the limb muscle parts that occurs after walking for a period of time, can be relieved by standing up and resting for a while to continue to walk, and then repeated after walking for a certain period of time, and then the pain symptoms. Symptoms, in addition, if no activity that is obvious pain, and even affect the night rest, may suggest that the disease development is serious, the above symptoms suggest that you may have lower limb arteriosclerosis occlusion, if not treated in time may even develop to amputation, need to consult the vascular surgery in a timely manner. Swelling of the limbs Especially edema of the limbs that decreases in the morning after waking up and increases in the afternoon, or all kinds of sudden swelling of the limbs, beware of venous thrombosis, and need to consult a doctor in time. Deep vein thrombosis occurs mostly in the lower limbs. Clinical manifestations are often unilateral (left side is more common) lower extremity swelling, pain, etc.. Prolonged sitting, long flights, major surgery, tumors, prolonged bed rest, trauma, etc., are all factors that cause venous thrombosis. The dangers of venous thrombosis (especially deep vein thrombosis) include: pulmonary embolism, post-thrombotic syndrome, and femoral bruising. Limb or toe ulceration If an elderly person with hypertension or diabetes mellitus has an ulcerated limb or toe due to an accidental injury, and the ulceration cannot heal after 1-2 weeks, it may be a manifestation of atherosclerotic occlusion of the lower limb or diabetic foot, and the person should seek medical treatment from a vascular surgeon in a timely manner, otherwise the ulceration will continue to expand, and even threaten the limb or even the life of the limb. Weakening and disappearance of pulse Healthy people can touch obvious arterial pulsations on the surface of the wrist or foot, if the pulsations are weakened or disappeared, suggesting that the arteries are narrowed or blocked, and you need to consult a doctor in time. A throbbing mass in the neck, limbs or abdomen, with a frequency similar to the heartbeat, may indicate the presence of an aneurysm, which may rupture and become life-threatening if left untreated. Discovery of “arterial plaque” Physical examination through the ultrasound examination found vascular “plaque”, a small plaque off, may cause organ infarction, do not take it lightly. “Small stroke” and “stroke”: sudden blurred vision, upper or lower limb activity disorder, aphasia, mouth and feet skewed and other symptoms, can be recovered on their own, known as a “small stroke”, often the “It is often the precursor and danger signal of cerebral infarction, no matter “small stroke” or “stroke”, it is necessary to see the vascular surgery except for carotid artery, vertebral artery or cerebral vascular lesions. Varicose veins: Exposure of veins on the limbs, even itching, blackening, ulceration, inflammation of the veins, etc. Acute chest and back pain: Acute chest and back pain may be caused by entrapment, the onset is sudden and risky, the lesion often extends rapidly proximally leading to pericardial tamponade and death, or extends distally blocking the branch vessels of the aorta and ischemia at the corresponding site, in which the Stanford A aortic coarctation has a mortality rate of >35% at 24 hours, more than half of the patients die within 48 hours, and the 30 day More than half of the patients died within 48 hours, and the 30-day mortality rate was >95%. Therefore, early management and selection of appropriate treatment is the key to saving lives. single conservative medical treatment for TAAD is not effective, and once diagnosed, it should be treated aggressively with surgery. When your chest pain changes from back of shoulder to back of chest to back of waist and abdomen to lower limbs, and is combined with mediastinal widening on chest radiographs and elevated D-dimer on laboratory tests, it is recommended to consult a vascular surgeon as soon as possible, and to improve the CTA of thoracic aorta in the emergency room to clarify whether there is aortic coarctation or not. These cases you do not need to use vascular surgery: patients are often difficult to distinguish between some of the symptoms in the end should go to what department, sometimes need to be assisted by a doctor to determine, if you can not distinguish between them, you can ask the vascular surgeon to help identify, but there are some diseases do not necessarily need to see the vascular surgery, in order to avoid delays in the diagnosis and treatment. Specialized hemangiomas, such as intracranial or spinal cord hemangiomas, liver hemangiomas, and intravertebral hemangiomas, are recommended to be treated by a neurosurgeon, liver surgeon, or orthopedic surgeon. Immunological vasculitis Some vasculitis involves small blood vessels, which is a manifestation of immunological diseases in the microcirculatory system, and it is recommended that you consult the rheumatology department. Of course, some vasculitis, such as aortitis, involves the large blood vessels, and it is still necessary to consult the vascular surgery department when surgical treatment is required.