相关实验视频
Updated: Jun 11, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
207
带关节下关节动脉创伤患者的内血管修复
Juan Pablo Carbonell1, Andrés Gempeler2, Leidy Daniela Castro2
1Department of Vascular Surgery, Fundación Valle del Lili, Cali, Colombia.
Annals of vascular surgery
|September 28, 2024
概括
对关关下关节动脉创伤的内血管治疗是一种具有良好的结果的最小侵入性选择. 在一项为期15年的研究中,这种方法表明并发症率低,没有住院死亡率.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 干预性放射学 干预性放射学
背景情况:
- 和关节下动脉损伤带来了显著的发病率和死亡率风险.
- 由于血管的解剖位置,传统的手术修复具有挑战性.
- 内血管治疗为管理这些复杂的损伤提供了一个可行的替代方案.
研究的目的:
- 描述与内血管治疗治疗的创伤性关/关节下动脉损伤患者的结局发生率.
- 评估内血管修复在第三级护理环境中的安全性和有效性.
- 分析与这种治疗方式相关的并发症和住院死亡率.
主要方法:
- 使用从2008-2022年的临床记录进行了一项发病率研究.
- 包括15岁以上的患者,他们有创伤性关/关节下动脉损伤,并接受内血管治疗.
- 从透析导管中排除了阳性损伤;分析了临床,成像,外科手术期间的数据和结果.
主要成果:
- 包括32名患者 (93.8%是男性,平均年龄30岁);75%是穿透创伤 (62.5%是枪伤).
- 关节底动脉损伤发生在90.6%;37.5%的血液动力学不稳定.
- 手术后并发症率低 (3.1%),没有缺血或截肢;在医院死亡率为0%.
结论:
- 内血管治疗是治疗关关关节动脉创伤的一种微创手术.
- 它提供了有利的临床结果,应考虑在选定的情况下.
- 这种方法在管理这些具有挑战性的血管损伤方面证明了安全性和有效性.
相关概念视频
01:26Aneurysm III: Interprofessional Care
3
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...
3
01:12Arteries of the Upper Limbs
458
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...
458
01:22Aneurysm IV: Nursing Management
3
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
3