腿上爬上了“蚯蚓”，恐怖吗？要知道，有一种“蚯蚓”深藏在皮肤下，就是趁你不注意的时候慢慢现身，刚开始的时候不痛也不痒，往往易被人忽略和不重视，可是如果你不管它，渐渐地腿部会有酸胀感，并出现了皮肤的色素沉着，肢体出现了异样的感觉，麻木、瘙痒，一旦瘙痒抓错后，就会形成溃疡和坏疽，甚至大出血。这种“蚯蚓”在医学上称之为下肢静脉曲张，是一种血管病变。

Climbed up on the leg"The earthworm",A terrorist??Want to know,There is a"The earthworm"Deep under the skin,Is slowly while you do not pay attention to appearance,In the beginning of pain will not itch,And not value tends to be ignored,But if you no matter it,The legs will have acid bilges feeling gradually,And the pigmentation of the skin,Limbs had strange feeling,numb/The itch,Once the itch is wrong,Will form the ulcer and gangrene,Even bleeding.This kind of"The earthworm"In medicine as varicose veins of lower limbs,Is a kind of vascular lesions.

　　萧山区第一人民医院心脏血管外科主任朱江提醒大家，久站、久坐、长时间负重的人，如厨师、妊娠和餐厅服务员等，皆是高危人群。

Xiaoshan district, the first people's hospital of cardiovascular surgery at Zhu Jiang remind everybody,Long standing/sedentary/Long time to load,Such as cook/Pregnancy and restaurant staff, etc,All are at higher risk.

　这种“蚯蚓”不可忽视 This kind of"The earthworm"Can not be ignored

　　下肢静脉曲张早期最常见的表现就是皮肤下的静脉曲张，看上去就像一条一条弯弯曲曲的蚯蚓在爬。它的发病率较高，朱主任说，该院心脏血管外科开展的下肢静脉手术，平均每月都达60—70例，以40~50岁的中年人最为多见。下肢静脉曲张发病早期既不痛也不痒，只是曲张血管的隐约可见，因此大多数的病人并没有把它当一回事。下肢静脉曲张后期，皮肤瘙痒抓破后会出现经久不愈的溃疡，有的甚至溃烂到骨头都看得见。

Early one of the most common performance of varicose veins of lower limb varicose veins under the skin,Looks like a earthworms in climbing a winding.Its incidence of a disease is higher,Zhu said, director of the,The hospital cardiovascular surgery in lower limb vein surgery,On average each month up to 60-70,40 ~ 50 years old of middle-aged people in the most rare.Lower extremity varicose veins disease early pain already also do not itch,Is only faintly visible varicose veins,So most of the patients did not take it seriously.Varicose veins of lower limbs in the late,Itchy skin scratches will not heal ulcers occur over a long period of time,Some even fester into bones are visible.

　　朱医生告诉笔者，许多患者一开始都是能忍则忍，或是随意涂点药膏，直到溃疡、出血等并发症出现，才到医院就诊。下肢静脉曲张溃烂后需手术切除溃疡，进行植皮，覆盖创面，并且需要结扎和切断功能不全的交通支，待创面愈合后，才可进行正规的手术治疗，大大延长了治疗时间。病情严重者，还容易引起静脉血栓，危及生命。

Zhu doctor told me,Many patients are initially can endure the endure,Or feel free to apply some ointment,Until the ulcer/Bleeding complications,To get to hospital.Varicose veins of lower limb ulcers after surgical removal of the ulcer,For a skin graft,Cover the wound,And need transportation ligation and cut off function is not complete,After waiting for wound healing,Normal operation can be performed,Prolong the treatment time greatly.In serious condition,Also likely to lead to venous thrombosis,life-threatening.

　下肢静脉曲张，如何预防 Lower extremity varicose veins,How to prevent

　　朱医生说，下肢静脉曲张是可以预防的。日常生活中，我们要避免长时间的站、坐、蹲及负重，忌翘二郎腿；还要保持体重不能超重，因过重会使腿部静脉负担加重影响静脉回流；不可使用超过40摄氏度以上的高温水长时间泡脚，养成一日数次躺下将腿抬高高过心脏的姿势，如此可促进腿部的静脉循环。

Zhu said the doctor,Lower extremity varicose veins can be prevented.In daily life,We want to avoid standing for long periods of time/sit/Squat down and weight,Avoid other;Keep weight not overweight,Because overweight will aggravate burden of leg veins in venous return;Do not use more than 40 degrees Celsius hot water bubble foot for a long time,Develop several times a day will lay down legs elevated above the position of the heart,So can promote venous circulation in the legs.

　　此外，穿医用弹力袜能促进下肢静脉回流，既有医治的效果，也有预防的结果。但是，医用的弹力袜有长有短，压力也有大有小，最好是在医生的指点下购买，并在医生和护士的指导下应用。

In addition,Wear medical stretch hose can promote the lower extremity venous reflux,Both the healing effect,Also has a prevention.but,Medical stretch hose has long have short,Pressure also has big and small,It is best to purchase under the doctor's advice,And under the guidance of doctors and nurses.

　　最后，朱主任还提醒市民，要戒烟、戒酒，忌辛辣、刺激饮食，养成良好的生活习惯，这都是防止下肢静脉曲张术后复发的关键因素。陈倩倩　沈冬琴

The last,Zhu also warns a citizen, director,To quit smoking/Give up drinking,Avoid spicy/Stimulate the diet,Develop good living habits,This is a key factor to prevent the recurrence of varicose veins of lower limbs.Chen qian qian Shen Dongqin