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一个感染的,非冠状动脉性,裸体金属支架,呈现为右腹
Madiha Khan1, Youssef Mourad2, Alan Zeitlin2
1New York Institute of Technology College of Osteopathic Medicine, 101 Northern Blvd., Glen Head, NY 11545, USA.
Case reports in vascular medicine
|June 23, 2023
概括
周围动脉中裸体金属支架的感染很少发生,但严重. 这个案例显示了通过除菌和抗生素的成功管理,避免了对高风险患者的手术.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
背景情况:
- 使用裸金属支架的外周内血管支架可以导致罕见但严重的感染.
- 标准治疗包括支架扩张和旁路,这对并发症患者具有很高的风险.
研究的目的:
- 报告一个复杂的裸体金属支架感染在常见的股骨和外侧阴动脉的病例.
- 描述高手术风险患者的替代管理策略.
- 为了强调识别欺骗性皮肤感染支架感染的迹象的重要性.
主要方法:
- 一份病例报告详细介绍了一名患有右腹的患者,并且由于感染的普通股骨和外腹动脉裸体金属支架而导致副次排水的鼻腔.
- 由于并发症,该患者被认为不适合进行探索和绕道,接受了局部脱bridement和长期抗生素治疗.
- 术后监测和对治疗结果的临床评估.
主要成果:
- 这位患者出现了深深的沟,以及迁移的支架材料.
- 通过局部脱bridement和长时间的抗生素管理,成功实现了管理.
- 患者经历了一个没有并发症的术后过程,结果良好.
结论:
- 裸金属支架感染可以呈现出微妙和误导性的皮肤症状.
- 在高风险患者中,通过除菌和抗生素进行保守的管理可以成为探索和绕道的可行替代方案.
- 及时识别和适当管理是预防感染支架的严重发病率和死亡率的关键.
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