一个破裂的支气管动脉动脉瘤的跨导管动脉栓塞呈现为血凝:一个病例报告
Gwanghyun Kim1, Lyo Min Kwon1, Young Soo Do1
1Department of Radiology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Current medical imaging
|July 8, 2025
概括
由于支气管动脉动脉瘤 (BAA) 破裂而引起的血是罕见的. 通过计算机断层扫描血管造影 (CTA) 和透气管动脉栓塞 (TAE) 及时诊断对于成功治疗至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 血是支气管动脉动脉瘤 (BAA) 的一个不常见的表现.
- 破裂的BAA通常会导致由于进入支气管树的出血而导致血,而不是胃肠道出血.
研究的目的:
- 报告一种罕见的血凝病病例,由破裂的BAA引起.
- 突出诊断和治疗方面的挑战和成功管理这种情况.
主要方法:
- 一名71岁的男性患有昏迷和血,接受了计算机断层扫描血管造影 (CTA).
- CTA揭示了一个破裂的BAA与食道对比扩张.
- 该患者接受了两次透气管动脉栓塞 (TAE) 治疗.
主要成果:
- 在第二次TAE手术后,成功实现了血液静止.
- 患者康复良好,没有并发症就出院了.
- 后续的CTA证实了解决方案和没有重新道化.
结论:
- 破裂的BAA呈现为血凝异常罕见,在诊断上具有挑战性.
- CTA对于及时诊断至关重要.
- 及时的TAE干预对于有利的结果和预防严重并发症至关重要.
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