形创伤隔离左外阴静脉损伤没有骨盆骨折
Khuloud H Alnuaimi1, Phalguni S Preethi Asapu1, Mohamed E Mohamed1
1Emergency Department, Sheikh Tahnoon Bin Mohammed Medical City (STMC), Al-Ain, ARE.
Cureus
|March 9, 2026
概括
形创伤可能会导致罕见但危险的隔离静脉损伤,即使没有骨盆骨折. 使用抗凝血和IVC过器放置的保守管理可以在内血管修复不可能时导致恢复.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 由于重创伤而造成的隔离性阴静脉损伤是罕见的,但具有重大风险.
- 的盆腔创伤可能导致严重出血和血液动力学不稳定.
- 静脉损伤,特别是静脉损伤,在创伤评估中经常被忽视.
研究的目的:
- 报告一个孤立的左外阴静脉受伤的病例.
- 讨论这种伤害的诊断和管理挑战.
- 突出在选定的情况下保守管理的潜力.
主要方法:
- 一个39岁的女性在电动滑板车碰撞后的案例报告.
- 最初的治疗包括复苏,大规模出血方案和血管压缩器支持.
- 诊断工作涉及计算机断层扫描血管学和诊断血管学.
- 由于内血管修复的技术挑战,治疗策略进行了调整.
主要成果:
- 患者呈现低血压和骨盆血瘤与活跃的静脉扩张.
- 由于广泛的静脉血栓形成,内血管修复是不可能的.
- 通过延迟抗凝和下腔静脉 (IVC) 过器的放置开始了保守的治疗.
- 患者实现了血液动力学稳定和临床改善.
结论:
- 在没有相关的骨盆骨折的情况下,孤立的阴静脉损伤可以发生在的创伤中.
- 早期计算机断层扫描血管造影对于血液动力学不稳定的骨盆血瘤患者至关重要.
- 当内血管选择有限时,包括延迟抗凝和IVC过器放置在内的保守管理可能是有效的.
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