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一种腹腔大动脉动脉瘤的病例,呈现出多个器官栓塞
Shinichi Tanaka1, Takahiro Ohmine2, Takashi Maeda2
1Department of Surgery, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6 Sendamachi, Naka-Ku, Hiroshima City, 730-8619, Japan. fjhkn396@yahoo.co.jp.
Surgical case reports
|August 26, 2024
概括
本病例报告详细介绍了一种罕见的腹腔大动脉动脉瘤 (AAA),呈现出多个器官栓塞. 患者在经历肢体缺血和肠炎后,在拯救生命的开放性大动脉修复中幸存下来.
科学领域:
- 血管外科 血管外科
- 主动脉动脉瘤疾病 主动脉动脉瘤疾病
- 栓塞性并发症 栓塞性并发症
背景情况:
- 腹腔大动脉动脉瘤 (AAA) 很少出现与远端栓塞作为最初的症状.
- 来自AAA的多器官栓塞非常罕见,表明严重的全身状况.
- 在手术干预前AAA多器官栓塞患者的结果仍然未经记录.
研究的目的:
- 报告一种罕见的腹腔大动脉动脉瘤 (AAA) 病例,呈现出多个器官栓塞.
- 为了突出成功的手术管理和积极的结果在这样一个复杂的案例.
主要方法:
- 一名78岁的男性患者出现了急性下肢缺血和缺血性肠炎.
- 这名患者患有大腹主动脉动脉瘤 (83毫米) 与显著的壁面血栓.
- 治疗涉及四肢缺血症的内血管再血管化,其次是缺血性结肠炎的保守管理,最终是AAA的开放性大动脉修复.
主要成果:
- 对急性下肢缺血的内血管治疗取得了成功,但随后的感染需要膝盖以上截肢.
- 缺血性结肠炎通过保守的医疗管理得到解决.
- 患者接受并成功从腹部大动脉动脉瘤的开放大动脉修复中恢复过来.
结论:
- 开放性大动脉修复可以在罕见的腹部大动脉动脉瘤出现多器官栓塞的情况下成功进行.
- 这一案例表明,在患有复杂呈现的AAA相关多器官缺血症的患者中,救命的结果.
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