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桡动脉假性动脉瘤作为迟发性骨筋膜室综合征的病因:一例报告

Pseudoaneurysm of the radial artery as a cause of a late compartment syndrome. A case report.

作者信息

Rimoldi R L, Gogan W J, Koulisis C W, Putney M E

机构信息

Department of Orthopaedic Surgery, University of Texas, Galveston.

出版信息

Clin Orthop Relat Res. 1990 Feb(251):263-5.

PMID:2295185
Abstract

Pseudoaneurysm has been reported in the literature as a cause of compartment syndrome. The onset of the subsequent compartment syndrome is usually early. Often, while the compartment syndrome is diagnosed and treated, the pseudoaneurysm is missed. A second operative procedure is then necessary. A 40-year-old woman illustrates an unusual case of a late compartment syndrome, following the development of a radial artery pseudoaneurysm three weeks after a penetrating injury. It is important to investigate the vascular tree in compartment syndromes after a penetrating injury, no matter how late the patient is seen.

摘要

文献报道假性动脉瘤是骨筋膜室综合征的一个病因。随后发生的骨筋膜室综合征通常起病较早。通常,在诊断和治疗骨筋膜室综合征时,假性动脉瘤会被漏诊。之后就需要进行二次手术。一名40岁女性患者展现了一个不寻常的迟发性骨筋膜室综合征病例,该病例是在穿透伤三周后出现桡动脉假性动脉瘤。对于穿透伤后发生骨筋膜室综合征的患者,无论就诊时间多晚,对其血管系统进行检查都很重要。

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引用本文的文献

1
A large radial artery false aneurysm after repeated arterial punctures, causing compartment syndrome of the forearm.反复动脉穿刺后形成巨大桡动脉假性动脉瘤,导致前臂骨筋膜室综合征。
Intensive Care Med. 2003 Jun;29(6):1032. doi: 10.1007/s00134-003-1762-7. Epub 2003 May 1.
2
Relevance of mangled extremity severity score to compartment syndromes.肢体严重损伤严重程度评分与骨筋膜室综合征的相关性。
Arch Orthop Trauma Surg. 1995;114(4):229-32. doi: 10.1007/BF00444269.