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[一例罕见的先天性上肢动静脉血管发育异常过度病例]

[A rare case with excessive congenital arterio-venous angiodysplasy of the upper extremity].

作者信息

Denchev B, Govedarski V, Nikolova G, Staykova Sv, Todorov K, Cheshmedzhiev M

出版信息

Khirurgiia (Sofiia). 2010(6):69-71.

Abstract

The congenital vascular anomalies of an upper extremity are rare, but may cause serious complications during them development and haemodynamic. We present a case of one patient with congenital arterio-venous malformation of the right arm and fore-arm, advanced and progressed by impossible level of an operation or invasive treatment. The changes in the venous system are with obligate predisposition for dyabrosis, rupture and profuse bleeding from the extremity. The problems by the complex treatment of the congenital arterio-venous vascular diseases are considerable, in spite of all that the lower frequency and manifest expression to them, in particular in the cases with polyorgans comorbidity.

摘要

上肢先天性血管异常较为罕见,但在其发育和血流动力学过程中可能引发严重并发症。我们报告一例右臂和前臂先天性动静脉畸形患者,病情严重且进展至无法进行手术或侵入性治疗的程度。静脉系统的改变必然易导致溃疡形成、破裂以及肢体大量出血。尽管先天性动静脉血管疾病的综合治疗存在诸多问题,且其发病率较低、临床表现不明显,尤其是在合并多器官疾病的情况下。

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