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一名患有IX因子缺乏症(乙型血友病)的患者出现尺动脉假性动脉瘤。

Ulnar artery pseudoaneurysm in a patient with factor IX deficiency (hemophilia B).

作者信息

Plant Mathew A, Scilley Christopher G

机构信息

Shulich School of Medicine, University of Western Ontario, London, Ontario.

出版信息

Can J Plast Surg. 2007 Winter;15(4):223-5. doi: 10.1177/229255030701500412.

DOI:10.1177/229255030701500412
PMID:19554182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2696008/
Abstract

The hypothenar hammer syndrome describes a constellation of symptoms resulting from repetitive trauma to the hypothenar eminence, often due to the use of the hand as a hammer. Sequelae of this syndrome include both true and false aneurysms, as well as thrombosis of the ulnar artery due to its vulnerability to blunt trauma as it exits Guyon's canal. Although this is a relatively well-documented phenomenon, an extensive review of the literature revealed that no cases have been described involving a patient with hemophilia. The present case describes a 46-year-old farmer with factor IX deficiency (hemophilia B) presenting with a 5 cm x 7 cm pseudoaneurysm of the ulnar artery of the right hand.

摘要

小鱼际锤状指综合征描述了一系列因小鱼际反复受到创伤而产生的症状,这种创伤通常是由于将手用作锤子所致。该综合征的后遗症包括真性和假性动脉瘤,以及尺动脉因在离开Guyon管时易受钝性创伤而发生血栓形成。尽管这是一个有相对充分文献记载的现象,但对文献的广泛回顾显示,尚无涉及血友病患者的病例报道。本病例描述了一名46岁患有IX因子缺乏症(B型血友病)的农民,其右手尺动脉出现一个5厘米×7厘米的假性动脉瘤。

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本文引用的文献

1
Ulnar artery aneurysm in a patient with Marfan's syndrome.一名患有马凡综合征的患者出现尺动脉动脉瘤。
J Plast Reconstr Aesthet Surg. 2006;59(10):1131-2. doi: 10.1016/j.bjps.2005.11.032. Epub 2006 Mar 9.
2
Surgical management of hypothenar and thenar hammer syndromes: a retrospective study of 31 instances in 28 patients.小鱼际和大鱼际锤状指综合征的手术治疗:对28例患者31例病例的回顾性研究
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Hypothenar hammer syndrome.
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Hypothenar hammer syndrome. Retrospective study of nine cases.小鱼际锤状指综合征。9例回顾性研究。
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Pseudoaneurysm of the ulnar artery occurring after fracture of the distal radius and ulna: a case report.桡骨远端和尺骨骨折后发生尺动脉假性动脉瘤:一例报告
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Hypothenar hammer syndrome: posttraumatic digital ischemia.小鱼际锤状指综合征:创伤后手指缺血。
Surgery. 1970 Dec;68(6):1122-8.