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上肢急性缺血是继引发的手臂动脉动脉瘤的次要原因
Durr Al-Hakim1, Meghan McGillivray2, Farhad R Udwadia2
1Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Journal of vascular surgery cases and innovative techniques
|April 16, 2025
概括
长期使用拐杖的人可能会患上腕动脉动脉瘤,导致肢体缺血. 手术修复和人体工程学辅助工具可以防止复发.
科学领域:
- 血管外科 血管外科
- 医学案例报告 病例报告
背景情况:
- 长期使用拐杖可以使个体易患近端动脉退行症.
- 上肢缺血可能表明潜在的动脉瘤疾病和血栓塞栓症.
研究的目的:
- 在长期使用拐杖的患者中报告由臂动脉动脉瘤引起的上肢缺血病例.
- 为突出这一罕见疾病的诊断和治疗方法.
主要方法:
- 一名63岁的男性患者有脊髓灰质炎史和慢性拐杖使用,呈现出急性左手缺血症.
- 计算机断层扫描血管造影用于诊断左臂动脉动脉瘤.
- 动脉瘤通过使用大沙静脉进行腹至腕动脉旁路治疗.
主要成果:
- 计算机断层扫描血管学证实左臂动脉动脉瘤是血栓栓塞的原因.
- 患者经历了成功的手术排除动脉瘤与旁路移植.
- 患者经历了良好的康复,没有并发症.
结论:
- 在长期使用拐杖并出现上肢缺血的患者中,应考虑动脉动脉瘤.
- 手术干预,如旁路移植,是有效的治疗这些动脉瘤.
- 过渡到人体工程学步行辅助工具对于防止复发至关重要.
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