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幼儿的真菌性动脉瘤具有灾难性的后果
Rajesh Balan1, Padmasani Venkat Ramanan2, Vidya Sukumar3
1Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
BMJ case reports
|April 7, 2025
概括
一名幼儿因菌性动脉瘤而出现严重的腹痛和四肢缺血,这是败血症的罕见并发症. 迅速的外科干预和医疗管理导致她完全康复,没有出现重大缺陷.
科学领域:
- 血管外科 血管外科
- 儿童传染病 儿童传染病
- 医疗成像医学成像
背景情况:
- 菌性动脉瘤在儿童中很少见,但可能是因为细菌在毒症后播种了血管壁,例如烧伤后的Pseudomonas sepsis.
- 败血症和诸如缺血性中风等血管事件的病史会增加患动脉瘤等并发症的风险.
研究的目的:
- 报告一个罕见的儿科真菌性动脉瘤病例,出现肢体缺血.
- 强调识别和管理儿童这种严重并发症的重要性.
主要方法:
- 一个男婴的病例呈现出发烧,腿痛,腹痛和四肢缺血的症状.
- 诊断评估包括CT血管造影,以确定腹腔大动脉和右外阴动脉的囊性动脉瘤与血栓.
- 治疗涉及手术干预 (切换性栓塞切除,内神经缩小术),静脉注射抗生素和抗凝药.
主要成果:
- CT血管造影揭示了腹腔大动脉和右外阴动脉中的囊性动脉瘤,并具有广泛的血栓.
- 患者经历了成功的手术修复和医疗管理.
- 症状得到缓解,患者在没有长期严重缺陷的情况下康复.
结论:
- 菌性动脉瘤是儿童败血症的潜在并发症,尽管很少见.
- 早期诊断和适当的管理,包括手术干预和抗生素,对于挽救肢体和有利的结果至关重要.
- 在临床医生中提高意识对于迅速识别和治疗这种疾病至关重要.
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