右肝静脉子弹栓塞:一个病例报告
Rafael Borella Pelosi1, Sandro Scarpelini1, Maurício Godinho1
1Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil.
Trauma case reports
|December 22, 2023
概括
一种罕见的枪伤并发症,导弹栓塞 (ME),发生在弹子穿过血管时. 这一案例突出了静脉ME到肝静脉,强调了基于子弹位置的多样化治疗.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 枪伤 (GSW) 需要进行彻底的评估,以确定所有伤口和弹子轨迹.
- 导弹栓塞 (ME) 是一种罕见的并发症,涉及弹子通过血管系统栓塞,可能导致严重的全身损伤.
- ME可以发生在动脉或静脉系统中,导致诸如中风或肢体缺血等多种和危及生命的疾病.
研究的目的:
- 在枪伤后报告肝静脉导弹栓塞的病例.
- 讨论静脉导弹栓塞的诊断和管理方面的考虑.
主要方法:
- 一个18岁的男性有枪伤的案例报告.
- 最初的评估包括探索性腹腔切除术,以确定下静脉裂.
- 进一步的成像证实了右肝静脉的子弹栓塞.
主要成果:
- 这名患者受到了枪伤,一颗子弹在右肝静脉栓塞.
- 弹子在静脉系统中的位置影响了治疗考虑.
- 静脉ME的管理选择范围从保守的观察到手术或内血管检索.
结论:
- 导弹栓塞是枪伤的一种罕见但严重的并发症.
- 针对ME的治疗策略以弹的位置和受影响的循环系统 (动脉与静脉) 为指导.
- 如果静脉ME无症状,则可以保守地管理,而动脉ME通常需要检索.
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