抽烟20年，男子脚趾坏死 Smoking 20 years，Man toes necrosis

医生：十个脉管炎患者有九个是“老烟枪” The doctor：Ten vasculitis with nine is“Heavy smoker”

　　35岁的胡先生(化名)很长时间以来经常出现下肢发麻、疼痛，走路时间稍长，小腿和足部肌肉就会胀痛。后来甚至发展到不走路也疼，夜间疼得睡不着觉。 胡先生找到南京鼓楼医院血管外科副主任医师乔彤，专家判断他患的是严重的血栓闭塞性脉管炎，而这和他吸烟有着密切的关系。

35 year old Mr. Hu(aliases)For a long time often appear lower limbs and needles、pain，Walk for a long time，Leg and foot muscle can pain。Later develop even to not walk also hurts，The night to sleep in pain。 Mr. Hu find nanjing gulou hospital of doctor of vice director of vascular surgery QiaoTong，Expert judgment he is suffering from serious thromboangiitis obliterans，And this and he smoking have a close relationship。

　　专家指出，在临床上，这种病一般与长期吸烟密切相关。果然，胡先生虽然年纪并不算大，但已有20多年的烟龄了。乔彤副主任告诫胡先生，要想治疗脉管炎，当务之急是戒烟！否则照现在的情况发展下去，下肢动脉血管闭塞，无法正常供血，结果就是下肢坏死，必须截肢了。可即便如此，胡先生依然不愿意戒烟，坚持让医生开些药帮助自己缓解疼痛。经过一段时间的服药治疗，胡先生的脚趾还是慢慢发黑了，心急如焚的他这才又找到乔彤副主任。可此时，胡先生被告知脚趾已经坏死，必须截掉。胡先生这才追悔莫及。

Experts point out that，In the clinical，The illness is generally and long-term smoking closely related。Indeed as expected，Mr. Hu despite the age is not big，But for 20 years of smoked。QiaoTong, deputy director of Mr Hu warned，To treatment vasculitis，The urgent task is to give up smoking！Otherwise the situation as it is.，Lower limb artery occlusion of the blood vessel，Cannot normal supply of blood，The result is lower limb necrosis，Must amputation。But even so，Mr. Hu is still not willing to give up smoking，Insist that the doctor prescribed some medicine to help his pain。After a period of drug treatment，Mr. Hu's toes black or slowly，Worried he was again find this the QiaoTong vice chairman。But this time，Mr. Hu was told toes has necrosis，Must be removed。Mr. Hu this just regret。

　　“类似胡先生这样由于长期吸烟导致脉管炎的患者我每周门诊都会遇到两三例，而且以中青年人居多。一遇到这种病，没什么好说的，赶紧戒烟！”乔彤副主任告诉记者。在采访中，记者还了解到，鼓楼医院血管外科前不久才收治了一个25岁的小伙子，抽了10年烟，平均每天2包，最后血管堵了，腿都发黑了，不得不截肢，医生也觉得很惋惜。

“Mr. Hu such long-term smoking because similar to the patients a week I vasculitis outpatient service will have two or three cases，And to young people in the majority。A meet this kind of disease，There's nothing to tell，Hurriedly to give up smoking！”QiaoTong vice director told reporters。In the interview，Reporters also know that，The drum hospital vascular surgery recently just treated a 25 young man，Smoked 10 years smoke，On an average day 2 package，The last blood vessels are clogged，Leg all the black，Have to be removed，The doctor also feel very sorry。

　　最后，乔彤副主任再次强调，吸烟被视为该病最危险的因素，十个患脉管炎的患者中有九个都是“老烟枪”。不仅如此，吸烟还会加重原有的病情，加速病程的进展，影响治疗的效果。(通讯员 王娟 记者 于丹丹)

finally，QiaoTong, deputy director of again，Smoking is regarded as the most dangerous factors，Ten patients with vasculitis there are nine“Heavy smoker”。Not only that，Smoking also will add to the original condition，Speed up the progress of the course，Affect the treatment effect。(Correspondent wang Juan YuDanDan reporters)