创伤后双边动脉栓塞:一个病例报告和系统审查
Jintao Tang1,2, Li He3, Yong-An Xu4
1Department of Thyroid and Breast Surgery, Nanxishan Hospital of Guangxi Zhuang Autonomous Region, Guilin, China.
Medicine
|November 8, 2025
概括
创伤后动脉栓塞 (RAE) 是一种罕见的紧急情况. 及时诊断和管理,包括置换疗法,对于功能恢复至关重要,即使是在严重创伤后.
科学领域:
- 血管外科 血管外科
- 创伤管理 创伤管理
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 创伤后动脉栓塞 (RAE) 是一种罕见的血管紧急情况.
- 不特定的呈现会给诊断带来挑战.
- 本研究分析了双边RAE案例和管理策略.
研究的目的:
- 提高创伤后RAE的临床识别.
- 分析RAE的当代管理策略.
- 在创伤后腹痛的差异诊断中突出RAE.
主要方法:
- 一个23岁的男性患有的腹部创伤的病例报告.
- 诊断工作包括CT血管造影和血清生物标志物.
- 管理包括重症监护,RRT,血管活性药物和支持性治疗.
主要成果:
- 患者表现为胸部疼痛,背部疼痛和意识改变.
- 与对比度增强的CT血管图识别了双边RAE.
- 连续功能监测显示治疗后功能完全恢复.
结论:
- 在创伤后腹痛的差异诊断中必须考虑RAE.
- 早期识别和管理是成功结果的关键.
- 在排除急性手术腹部后,系统评估至关重要.
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