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气管切除术后出血:关于下部甲状腺动脉罕见变化的病例报告
Hardip Gendeh1, Nur Farahin Rosdi2, Mohd Razif Mohamad Yunus3
1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus
|October 14, 2024
概括
一种罕见的异常性下甲状腺动脉 (ITA),源自常见的动脉 (CCA),在COVID-19患者的气管切除术后引起严重出血. 这个案例强调了在手术过程中识别异常的部血管的重要性.
科学领域:
- 血管外科 血管外科
- 人体解剖学 解剖学 解剖学
- 关键护理医学 关键护理医学
背景情况:
- 气管切除术是重症患者呼吸道管理的一个常见程序.
- 部异常的血管解剖学,虽然很少见,但可能会带来重大的手术风险.
- 严重的COVID-19需要长时间的机械通风,增加了气管切除术的需要.
研究的目的:
- 报告一个罕见的呼吸道切开术后出血病例.
- 确定底层原因是下部甲状腺动脉 (ITA) 的异常起源.
- 为了强调在气管切除术期间识别部潜在血管变异的重要性.
主要方法:
- 一个68岁的男性患有严重的COVID-19病例报告.
- 由于长时间的机械通风而导致的气管切除手术的描述.
- 手术探索,以调查从气管切除部位的显著术后出血.
主要成果:
- 患者在术后经历了从气管切除部位的严重出血.
- 手术发现揭示了下甲状腺动脉 (ITA) 的异常起源,直接来自常见动脉 (CCA).
- 异常的ITA被确定为出血的来源.
结论:
- 异常的血管解剖学,如来自CCA的ITA,在气管切除术期间具有关键风险.
- 对这些罕见的解剖变异的认识对于手术师进行部手术至关重要.
- 这一案例凸显了需要仔细进行手术前评估,并为管理意外血管并发症做好准备.
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