摘要
作者近２０年共收治９例医原性假性动脉瘤。其中因动脉穿刺、插管或球囊扩张并发假性动脉瘤５例，动脉钝性损伤和诊断性穿刺误伤动脉各２例。临床主要症状为局部疼痛（８例）、神经压迫损害症状（３例）和假性动脉瘤破裂大出血（２例）。临床查体触及搏动性肿块（７例）并伴有震颤（５例）、局部红肿和皮温升高（３例）及血管杂音（５例）。本组手术治疗８例，其中急诊手术３例。术后并发症占２５％，无手术死亡病例。文内就医原性假性动脉瘤的主要成因、诊断和治疗原则进行了讨论。
AbstractThe surgical management of 9 patients with falseaneurysms resulting from iatrogenic injury was re-viewed.The principal symptoms were local pain in 8patients, neuralgia syndrome in 3,and rupture in 2.Inthe series,swelling or pulsatile mass was present in 7patients,Only 5 patients were noted to have an artervbruit at the time of examination. Of these patients,6were diagnosed clearly before operation and all of thepseudoaneurysms were confirmed surgically. Surgicaltreatment was carries out in 8 patients including e-mergency operation in 3.Postoperative complicationswere rather high(25%),but fortunately,there wasno operative mortality in this series. The etiological di-agnostic method and the principles of surgical manage-ment were discussed.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第2期112-114,共3页
Chinese Journal of Surgery
