Wassmann H, Holbach K H, Wappenschmidt J
Chirurg. 1975 Feb;46(2):84-6.
A case of iatrogenic dissecting aneurysm in the cubital region causing secondary damage to the median nerve is reported. This aneurysm was caused by an attempted venipuncture, in what can be considered a minor procedure. Such a severe complication is very remarkable, for it has not been observed so far even in much more potentially hazardous procedures as, for instance, in the numerous arterial punctures in the cubital region being daily performed for retrograde angiography of the cerebral vessels. In this case the reduced blood coagulation is discussed as a causing factor of this unusual complication.
本文报告了一例医源性肘区夹层动脉瘤导致正中神经继发性损伤的病例。该动脉瘤由一次静脉穿刺尝试引起，而这原本可视为一个小手术。如此严重的并发症非常罕见，因为即使在更具潜在危险性的手术中，比如每天为脑血管逆行血管造影而在肘区进行的大量动脉穿刺，到目前为止也尚未观察到这种情况。在该病例中，凝血功能降低被讨论为这一异常并发症的一个致病因素。
