由于右下动脉破裂而延迟出血胸,肋骨骨折后67天的伪动脉瘤:一个病例报告
Akito Kubota1, Momoko Sugiyama1, Yasumasa Ode1
1Department of Emergency and Critical Care, Nagoya City University, Graduate School of Medical Sciences, Nagoya, JPN.
Cureus
|January 9, 2026
概括
延迟血胸,胸部创伤的罕见并发症,可以发生几个月后. 这一案例突出了破裂的下门动脉伪动脉瘤作为原因,强调了诊断中需要彻底的病史的必要性.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 延迟的血胸通常在重的胸部创伤后七天内出现.
- 下动脉 (IPA) 是创伤后出血的不常见来源.
- 破裂的伪动脉瘤可以导致延迟,大规模的血胸.
研究的目的:
- 报告一个罕见的延迟血胸病例,由下动脉伪动脉瘤破裂引起.
- 为了强调详细的病史在诊断延迟血胸病的重要性.
- 突出血管造影和栓塞的诊断和治疗作用.
主要方法:
- 一个73岁的男性呈现出休克和下体疼痛67天后肋骨骨折.
- 最初的CT显示出血胸和肋骨骨折;对比度增强的CT显示出外流.
- 血管造影发现了一种IPA伪动脉瘤,用跨导管动脉栓塞治疗.
主要成果:
- 通过IPA伪动脉瘤的跨导管动脉栓塞实现了成功的血液静止.
- 患者的血液动力学稳定,他从重症监护室出院了.
- 在初始创伤72天后被诊断出延迟血胸,归因于IPA伪动脉瘤破裂.
结论:
- 下门动脉伪动脉瘤破裂是一种罕见但危及生命的延迟血胸病的原因.
- 一个全面的病史,追溯到几个月前,对于诊断延迟血胸病至关重要.
- 积极的诊断工作,包括血管造影,对于患有下肋骨骨折的患者来说是必不可少的.
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