相关实验视频
Updated: Jul 30, 2026

10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.2K
在关节动脉破裂后的血液动力学不稳定性,下部关节关节脱:一个病例报告
Alexander Bech Rasmussen1, Rikke Thorninger1, Daniel Wæver2
1Department of Orthopaedic Surgery, Regional Hospital Randers, Randers, Denmark.
The American journal of case reports
|December 21, 2023
概括
下肩部脱可能导致关动脉损伤,这是一个罕见但严重的并发症. 早期识别和成像对于及时诊断和成功治疗至关重要,以防止永久性损伤.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 下肩部脱位是一种罕见的腺关节损伤.
- 关动脉损伤是一种严重的并发症,但文献很少.
- 及时识别血管损伤对于防止永久性损伤至关重要.
研究的目的:
- 为了强调在下肩部脱后识别关动脉损伤的重要性.
- 为了强调症状的立即和延迟发作的潜力.
- 倡导诊断成像的低门.
主要方法:
- 一个71岁的男性的病例报告,患有创伤性下肩部脱.
- 患者在减血后出现了血液动力学不稳定.
- 诊断工作包括CT扫描与对比和动脉造影.
主要成果:
- 脑电图扫描显示,怀疑关动脉破裂和关血瘤.
- 动脉图证实了动脉破裂的情况.
- 进行了成功的内血管支架修复.
- 患者在3个月的随访后达到正常的神经血管状态.
结论:
- 在下肩部脱后,意识到潜在的关动脉损伤至关重要.
- 考虑CT扫描与对比度或动脉图与低门的怀疑减少后.
- 监测症状,如扩大的血瘤,脉冲减弱,疼痛或血液动力学不稳定.
相关概念视频
Arteries of the Upper Limbs
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...

