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冠状动脉成形术后慢性放射性皮炎

[Chronic radiodermatitis following coronaroplasty].

作者信息

Perrot P, Ridel P, Visée E, Dreno B, Duteille F

机构信息

Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.

出版信息

Ann Chir Plast Esthet. 2013 Dec;58(6):700-3. doi: 10.1016/j.anplas.2013.05.003. Epub 2013 Jun 19.

Abstract

We report the case of a 72-year-old patient sent by his dermatologist in January 2009 for a back burn. His medical history reported one coronarography and two coronaroplasties between September and October 2005. This enabled us to form the diagnosis of chronic radiodermatitis after coronaroplasty from literature data. The occurrence of chronic radiodermatitis of the back and axilla area after cardiac catheterization has been observed in many countries. It almost always occurred in patients who underwent difficult and long-acting procedures leading to high doses radiation. There is not always acute radiodermatitis. Lesions appear between three and 30 months after exposure or even later. They are well-defined four-sided centimetrics lesions going from simple radiodystrophy to ulceration such as late radionecrosis requiring surgical coverage procedure.

摘要

我们报告了一例72岁患者的病例,该患者于2009年1月被皮肤科医生转诊,患有背部烧伤。他的病史显示在2005年9月至10月期间接受过一次冠状动脉造影和两次冠状动脉成形术。根据文献资料,我们据此诊断为冠状动脉成形术后慢性放射性皮炎。在许多国家都观察到心脏导管插入术后背部和腋窝区域出现慢性放射性皮炎。它几乎总是发生在接受了困难且耗时较长、导致高剂量辐射的手术的患者身上。并非总是会出现急性放射性皮炎。病变在暴露后3至30个月甚至更晚出现。它们是边界清晰的四边形厘米大小的病变,从单纯的放射性营养不良到溃疡,如需要手术覆盖治疗的晚期放射性坏死。

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