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创伤性盂肱前脱位后锁骨下腋动脉血栓形成和远端栓塞。

Subclavian-axillary arterial thrombosis and distal embolisation after traumatic anterior glenohumeral dislocation.

机构信息

Cirugía Ortopédica y Traumatología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.

Angiología y Cirugía Vascular, Hospital General Universitario, Valencia, España.

出版信息

Rev Esp Cir Ortop Traumatol (Engl Ed). 2020 Mar-Apr;64(2):130-133. doi: 10.1016/j.recot.2019.09.006. Epub 2019 Nov 18.

DOI:10.1016/j.recot.2019.09.006
PMID:31753766
Abstract

Arterial vascular injury associated with anterior dislocation of the shoulder is a rare but potentially devastating complication, often seen in the context of high-energy trauma or penetrating injury. It is a medical emergency that can compromise both the viability and functionality of the limb, as well as the patient's life if it is not identified early and treated properly. However, its diagnosis can be difficult, since it requires a high index of suspicion. The presence of an axillary artery thrombosis after shoulder dislocation resulting from low-energy trauma is extremely rare, even more so with subacute clinical presentation associated with embolism to the radial artery.

摘要

与肩关节前脱位相关的动脉血管损伤是一种罕见但潜在的破坏性并发症,通常发生在高能创伤或穿透性损伤的情况下。这是一种医疗急症,如果不能早期发现并正确治疗,可能会危及肢体的存活和功能,甚至危及患者的生命。然而,其诊断较为困难,因为需要高度怀疑。即使在亚急性临床表现并伴有桡动脉栓塞的情况下,由低能量创伤引起的肩关节脱位后腋动脉血栓形成也极为罕见。

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