通过线圈栓塞成功管理自发性状静脉断裂:一个案例报告
Yoshihiro Aoki1, Takanobu Otaguro2, Takeshi Hayashida3
1Coordination Office for Emergency Medicine and International Response, Acute and Critical Care Center, Nagasaki University Hospital, Nagasaki, Japan.
Vascular and endovascular surgery
|June 20, 2025
概括
自发性阴静脉破裂是一种罕见的,危及生命的疾病. 线圈栓塞提供了一种有效的,最少的侵入性治疗选择,特别是对于不适合进行手术的患者.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 紧急医疗 紧急医疗
背景情况:
- 自发性阴静脉破裂是一种罕见但危急的疾病.
- 它经常与深静脉血栓形成 (DVT) 有关.
- 最佳管理策略仍在讨论中,有手术和内血管选择可供选择.
研究的目的:
- 为了呈现一种自发性阴静脉破裂的情况.
- 为了评估线圈栓塞治疗这种疾病的有效性.
- 突出对血液动力学不稳定的患者进行最少的侵入性治疗方法.
主要方法:
- 一个74岁的妇女的病例报告,出现了自发的阴静脉破裂.
- 通过成像检查证实了诊断结果,显示了回质血瘤和活跃出血.
- 治疗涉及成功的线圈栓塞用于血液静止,随后用于DVT的抗凝血.
主要成果:
- 线圈栓塞在患有自发性阴静脉破裂的患者中成功实现了血液静止.
- 最少侵入性的方法在管理活跃出血方面是有效的.
- 患者因同时发生深静脉血栓形成而接受抗凝药.
结论:
- 线圈栓塞是一种可行的和有效的微创治疗自发性阴静脉破裂.
- 这种内血管技术对于那些手术候选人较差的患者来说尤其有益.
- 该案例支持线圈栓塞作为管理这种罕见的血管紧急情况的关键干预措施.
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