[从异常的右下关节动脉出血 (病例报告) ]
A Ya Ilkanich1, V V Darvin1, A V Satinov2
1Surgut State University, 628408, Surgut, Russian Federation.
概括
异常的右下关节动脉异常可能导致危及生命的动脉食道囊和出血,特别是在长时间的输液管养中. 内镜血静是无效的,但内血管支架和内镜剪切成功封闭了.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 异常的右下关节动脉 (arteria lusoria) 是最常见的一种主动脉弧血管异常.
- 一个罕见的并发症是动脉食道形成,导致潜在的致命出血.
- 由于这种疾病的罕见性,没有确定的诊断或治疗算法存在.
研究的目的:
- 为了介绍当前的诊断和治疗策略,从动脉食道的出血.
- 为了突出儿童中长时间的鼻胃管养导致的囊形成的次要情况.
主要方法:
- 一个患有急性脑缺血的6岁女孩的回顾性分析.
- 患者需要长时间的人工肺透气和鼻胃管养.
- 研究了状管的形成和随后的大量出血.
主要成果:
- 在患有异常右下关节动脉的患者中,长期的输液管养导致了动脉食管囊和严重出血.
- 内镜血静止方法证明是无效的.
- 通过Sengstaken-Blackmore管实现了暂时的出血控制,随后使用内血管支架和内镜剪切成功封闭了囊.
结论:
- 长时间的输卵管养和气管切口术可以导致动脉食道囊形成,并导致大量出血.
- 斯塔肯-布莱克莫尔管对于暂时控制出血是有用的.
- 内血管技术和内镜方法的结合方法为这种罕见的病理提供了可行的治疗策略.
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