自发关节下动脉剖析:一个案例报告和叙述审查
Katerina Sidiropoulou1, Panagiotis M Chatzipanagiotis2, Dimitrios Karamanos1
1First Surgical Department, Papageorgiou General Hospital, Aristotle University, Thessaloniki, GRC.
Cureus
|December 22, 2025
概括
自发关节下动脉解剖 (SSAD) 是一种罕见的血管疾病. 使用抗凝血药物的保守管理改善了急性上肢缺血症患者的肢体输液.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 自发关节下动脉解剖 (SSAD) 是一种罕见的血管疾病.
- 临床表现范围从无症状到严重的神经事件,如中风或肢体缺血.
研究的目的:
- 为了呈现一种保守管理的SSAD病例.
- 审查关于SSAD临床表现和管理的文献.
主要方法:
- 一个出现急性上肢缺血的SSAD病例被保守地管理.
- 在PubMed,Scopus,Embase和Google Scholar的文献中搜索到2025年7月的SSAD病例报告.
主要成果:
- 使用未分离和低分子量肝素的保守管理改善了四肢输液和恢复脉冲.
- 文献审查确定了18份病例报告,详细介绍了各种临床表现和治疗策略.
结论:
- SSAD是一种罕见的血管疾病,具有多种表现.
- 计算机断层扫描血管造影是主要的诊断工具.
- 由于证据有限和缺乏共识,最佳管理是个性化的.
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