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与沙门氏菌相关的传染性原生大动脉动脉瘤的手术治疗:一个病例报告
Tran Thanh Vy1,2, Ho Tat Bang1,3, Pham Doan Ngoc Tuan4
1Thoracic and Vascular Department, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
SAGE open medical case reports
|August 26, 2024
概括
感染性大动脉动脉瘤需要及时治疗. 这一案例证明了使用抗生素和外解剖绕道治疗沙门氏菌感染腹腔大动脉动脉瘤的成功管理.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 大动脉动脉瘤管理管理
背景情况:
- 感染性原生腹腔大动脉动脉瘤 (iNAA) 具有显著的死亡风险.
- 早期诊断和全面治疗对于有利的结果至关重要.
研究的目的:
- 报告沙门氏菌感染原生腹腔大动脉动脉瘤的成功管理.
- 突出了外解剖绕道与iNAA抗生素治疗的有效性.
主要方法:
- 一名53岁的男性患有沙门氏菌感染的腹腔大动脉动脉瘤,接受了14天的抗生素治疗.
- 从下降的胸前大动脉到双边常见的股骨动脉进行了外解剖绕道.
- 手术后的护理包括长时间的抗生素治疗和临床监测.
主要成果:
- 手术干预和抗生素治疗方案在治疗感染的大动脉动脉瘤方面取得了成功.
- 患者在随访期间表现出良好的康复,没有任何感染迹象.
- 外解剖学方法促进了彻底的除菌,并防止了移植感染.
结论:
- 将适当的抗生素治疗与外科干预相结合,对于治疗传染性母性大动脉动脉瘤至关重要.
- 从下降大动脉进行外解剖绕道是针对特定的iNAA病例的可行和有效的选择.
- 这种方法有助于实现适当的除菌,并最大限度地降低移植感染的风险.
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