由于支气管动脉动脉瘤引起的血液瘤导致的肺带破裂:一个病例报告
Yasuaki Tomioka1, Eiji Yamada2, Tsuyoshi Hyodo3
1Division of Thoracic Surgery, Department of Surgery, Fukuyama City Hospital, Fukuyama, Hiroshima, Japan. yasuakitommy@gmail.com.
Surgical case reports
|January 10, 2024
概括
支气管动脉栓塞有效地治疗了支气管动脉动脉瘤破裂,导致胸腔出血. 视频辅助胸腔镜手术能够控制由此产生的血瘤,突出了它们在罕见的血管紧急情况中的联合实用性.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胸部外科手术 胸部外科手术
背景情况:
- 支气管动脉动脉瘤 (BAA) 是一种罕见的血管异常.
- 破裂可能导致危及生命的血胸或血.
- 支气管动脉栓塞 (BAE) 和视频辅助胸腔镜手术 (VATS) 是关键的干预措施.
研究的目的:
- 为了呈现一个中骨BAA破裂的病例,带有大规模的血胸.
- 为了说明使用BAE和VATS的联合管理.
- 讨论这些程序的指示和风险.
主要方法:
- 一名73岁的女性,患有 BAA 破裂的中血瘤.
- 紧急血管造影和成功的BAE用微导管和线圈.
- 随后的VATS用于大规模的血胸管理 (1400毫升排水).
主要成果:
- 圆满成功地凝固了状BAA.
- 通过VATS有效地排水大规模的血胸.
- 患者在八天后没有并发症就出院了.
结论:
- BAE是有效的管理破裂的中骨BAAs.
- VATS是血液瘤去除的有价值的辅助.
- 由于再次破裂的风险,对VATS的仔细指示至关重要.
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