急性钝性腘动脉损伤的血管重建术。
Revascularization for acute blunt popliteal artery injury.
作者信息
Nishimura Kengo, Hamasaki Takafumi, Ohno Takashi, Nishihara Akihiko, Ito Hisao, Ishiguro Shingo
机构信息
Department of Surgery Tottori Prefectural Kousei Hospital Kurayoshi Japan.
Department of Orthopedic Surgery Tottori Prefectural Kousei Hospital Kurayoshi Japan.
出版信息
Acute Med Surg. 2015 Dec 22;3(3):276-278. doi: 10.1002/ams2.160. eCollection 2016 Jul.
CASE
A 45-year-old man was brought to our hospital in pre-shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation and decrease of elastic fibers and fragmentation of collagen fibers, but no inflammatory cells or intimal hyperplasia, and no dissection.
OUTCOME
Unfortunately, amputation had to be carried out on the 29th postoperative day due to infection and leg dysfunction. The postoperative course was uneventful. The patient could walk with an artificial leg and was discharged approximately 5 months after popliteal artery replacement.
CONCLUSIONS
We report a case of revascularization involving a patient with open fracture of the right femur due to acute blunt popliteal artery injury.
病例
一名45岁男性在骑摩托车摔倒后被送至我院，处于休克前期。由于我们诊断其为右股骨开放性骨折伴腿部缺血，遂对受伤的腘动脉进行了血管重建并治疗腿部。病理检查结果显示弹性纤维断裂、减少，胶原纤维断裂，但未见炎性细胞或内膜增生，也无夹层形成。
结果
不幸的是，由于感染和腿部功能障碍，术后第29天不得不进行截肢。术后过程顺利。患者可借助假肢行走，并在腘动脉置换术后约5个月出院。
结论
我们报告了一例因急性钝性腘动脉损伤导致右股骨开放性骨折患者的血管重建病例。
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