相关实验视频
Updated: Feb 5, 2026

08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
14.8K
感染性大动脉动脉瘤即将破裂,表现为老年患者的腰部疼痛
Satoshi Takashima1, Yu Toda1, Hirohito Hirata1
1Department of Orthopaedic Surgery, Saga University, Saga, JPN.
Cureus
|February 4, 2026
概括
感染腹腔大动脉动脉瘤 (IAAA) 可以模仿脊柱问题,延迟诊断. 这个案例展示了一个患有背部疼痛的患者,他发展了IAAA,psoas,和败血症,最终证明是致命的.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 感染腹腔大动脉动脉瘤 (IAAA) 是一种罕见但危及生命的血管紧急情况.
- IAAA可以呈现非特异性症状,通常模仿脊柱疾病,如椎间盘或脊椎骨髓炎.
- 延迟诊断IAAA可能导致灾难性的并发症,如破裂和败血症.
研究的目的:
- 报告一个63岁男性的病例,被误诊的IAAA呈现为腰部疼痛和腿部麻木.
- 突出诊断挑战和潜在的陷,在患者中识别IAAA在看似常见的脊柱症状.
- 强调在患有背痛和全身感染迹象的患者中考虑血管病理的重要性.
主要方法:
- 一个63岁的男性的病例报告,最初的症状是腰部疼痛和左腿麻木.
- 最初的诊断工作集中在脊柱病理上.
- 随后的调查揭示了感染的腹腔大动脉动脉瘤 (IAAA) 带有psoas和败血性休克.
- 治疗包括抗生素治疗,随后由于动脉瘤破裂而进行紧急手术.
主要成果:
- 患者最初出现了暗示脊柱病理的症状.
- 进一步调查显示,感染的腹腔大动脉动脉瘤复杂的psoas和败血性休克.
- 尽管接受了治疗,动脉瘤破裂,导致紧急手术.
- 不幸的是,患者在术后因循环衰竭而死亡.
结论:
- 受感染的腹腔大动脉动脉瘤带来了重大诊断挑战,因为它们能够模仿脊柱状况.
- 在出现背痛和全身感染症状的老年患者中,IAAA的高怀疑指数至关重要.
- 应该仔细审查放射性成像,以排除血管病理,即使最初怀疑脊柱病因.
相关概念视频
Aneurysm I: Introduction
423
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
423
Pain
1.4K
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
1.4K
Aneurysm IV: Nursing Management
477
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...
477
Aneurysm III: Interprofessional Care
307
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
307
Aortic Regurgitation I: Introduction
634
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
634
Analgesia and Pain Management
1.7K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.7K

