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婴儿手臂广泛复杂血管病变的保肢治疗

Limb Salvage in an Extensive, Complicated Vascular Lesion of the Arm in an Infant.

作者信息

Radhakrishna Veerabhadra, Radhakrishnan Chittur Narendra, Kabilan Harish Kumar, Chandrappa Ashok Basur, Vasudevan Srikanth

机构信息

Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Department of Paediatric Surgery, Manipal Hospital, Bengaluru, Karnataka, India.

出版信息

J Indian Assoc Pediatr Surg. 2020 Mar-Apr;25(2):121-125. doi: 10.4103/jiaps.JIAPS_16_19. Epub 2020 Jan 28.

DOI:10.4103/jiaps.JIAPS_16_19
PMID:32139995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7020671/
Abstract

When a vascular lesion involving a limb poses a hazard to the life, treatment options are excision or amputation of the limb. Although excision can be hazardous, limb salvage with vascular control is the best treatment option. We report limb salvage in an infant with an extensive infected congenital hemangioma complicated with consumptive coagulopathy.

摘要

当累及肢体的血管病变对生命构成威胁时，治疗选择是切除肢体或截肢。尽管切除可能有风险，但通过控制血管来挽救肢体是最佳治疗选择。我们报告了一例患有广泛感染性先天性血管瘤并伴有消耗性凝血病的婴儿的肢体挽救情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a302/7020671/70a668abf7bf/JIAPS-25-121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a302/7020671/e93839c14b49/JIAPS-25-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a302/7020671/70a668abf7bf/JIAPS-25-121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a302/7020671/e93839c14b49/JIAPS-25-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a302/7020671/70a668abf7bf/JIAPS-25-121-g002.jpg

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本文引用的文献

1
Congenital hemangioma exhibiting postnatal growth.先天性血管瘤表现出出生后生长。
Pediatr Dermatol. 2019 Jul;36(4):548-549. doi: 10.1111/pde.13813. Epub 2019 Mar 21.
2
Congenital Large Cutaneous Hemangioma with Arteriovenous and Arterioarterial Malformations: A Novel Association.
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Congenital hemangioma causing heart failure.先天性血管瘤导致心力衰竭。
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A rare atypical rapidly involuting congenital hemangioma combined with vascular malformation in the upper limb.上肢罕见的非典型快速消退先天性血管瘤合并血管畸形。
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Life-threatening hemorrhaging in neonatal ulcerated congenital hemangioma: two case reports.新生儿溃疡性先天性血管瘤危及生命的出血：两例报告。
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Bleeding in congenital hemangiomas: crusting as a clinical predictive sign and usefulness of tranexamic acid.先天性血管瘤的出血：结痂作为临床预测指标及氨甲环酸的作用
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Rapidly involuting congenital haemangioma associated with transient thrombocytopenia and coagulopathy: a case series.快速消退型先天性血管瘤伴短暂性血小板减少和凝血病：病例系列
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