多重创伤因创伤性脊椎动脉损伤而复杂而没有椎损伤:一个病例报告
Ayumi Takahashi1, Takaaki Maruhashi1, Marina Oi1
1Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0375, Japan.
Trauma case reports
|August 18, 2023
概括
形创伤性脊椎动脉损伤,虽然在胸部创伤中很少发生,但由于关节骨骨折可能会发生. 一个案例突出了这种罕见的机制,强调了创伤评估时需要保持警的必要性.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 神经外科 神经外科
背景情况:
- 形创伤性脊椎动脉损伤 (VAI) 通常与头部和椎创伤有关.
- 与胸部或上肢损伤相关的VAI没有椎创伤是不常见的.
研究的目的:
- 呈现一种罕见的突发性创伤性脊椎动脉损伤病例.
- 为了探索在没有椎脊柱创伤的情况下损伤的潜在机制.
主要方法:
- 一个94岁的女性参与了机动车事故的案例报告.
- 诊断包括下arachnoid出血,皮下血瘤,右脊椎动脉损伤和右关节骨骨折.
- 治疗包括为脊椎动脉损伤进行线圈栓塞.
主要成果:
- 患者遭受了多次头部伤害和右关节骨骨折,但没有椎损伤.
- 一个关节骨骨折碎片被怀疑是右脊椎动脉损伤的原因.
- 脊柱动脉损伤的圆圈栓塞成功进行.
结论:
- 关节骨骨折可能与V1-2段的形创伤性脊柱动脉损伤有关.
- 这一案例突出了脊椎动脉损伤的罕见损伤机制.
- 警VAI至关重要,即使没有明显的椎脊柱创伤.
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