在中央线放置期间造成的原性脊椎动脉损伤:一个案例报告
Osama Alahmadi1, Hadeel Bin Shuiel2, Muteb Alotaibi2
1Department of Surgery, Al Noor Specialist Hospital, Al Third Ring Road, Al Hijrah District, Makkah 21955, Saudi Arabia.
Journal of surgical case reports
|November 27, 2025
概括
中枢静脉导管治疗期间的脊椎动脉损伤是一种罕见但严重的并发症. 快速诊断和使用支架进行内血管修复可以有效地管理重症患者的出血风险.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 临界护理医学 临界护理医学
背景情况:
- 中枢静脉导管 (CVC) 是重症监护中常见的一种手术.
- 动脉损伤虽然很少发生,但与心血管输入相关的风险很大.
- 脊椎动脉损伤 (VAI) 是一种罕见但可能致命的并发症.
研究的目的:
- 在中央静脉导管治疗期间报告脊椎动脉损伤病例.
- 突出VAI的诊断挑战和管理策略.
- 强调内血管修复在管理CVC相关动脉损伤中的作用.
主要方法:
- 一份病例报告显示,一名55岁的男性患有严重的肺炎,正在接受心肺复合器插入.
- 左脊椎动脉损伤的诊断通过计算机断层扫描血管学 (CTA) 证实.
- 管理涉及内血管修复使用一个覆盖的气球可扩展支架通过手臂接入.
主要成果:
- 患者在CVC尝试期间经历了急性低血压和血红蛋白下降,这表明有出血.
- CTA证实左脊椎动脉损伤. 这是一个非常严重的损伤.
- 血管内支架修复导致了立即的血液动力学稳定和止血.
结论:
- 脊椎动脉损伤是中央静脉导管的罕见但关键并发症.
- 警监测,高级成像 (CTA) 和及时的血管手术咨询是必不可少的.
- 内血管修复为VAI提供了一种安全有效的微创治疗选择.
相关概念视频
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
1.1K
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
1.1K
01:22Aneurysm IV: Nursing Management
359
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
359