Mikhaylov I P, Kungurtsev E V, Kozlovskiy B V, Demyanov A M
Sklifosovsky Research Institute of Emergency Care, Moscow, Russia.
Khirurgiia (Mosk). 2021(6):96-100. doi: 10.17116/hirurgia202106196.
Vascular damage is an important aspect in the structure of injuries. Untimely medical care in patients with peripheral artery damage is often followed by development of false aneurysm. This event may be complicated by aneurysm rupture and bleeding, peripheral arterial thromboembolism, hematoma infection and neuropathy following adjacent nerved compression. We report surgical treatment of a patient with giant false aneurysm of the left axillary artery following a knife wound 1 year ago. The patient did not appeal for qualified medical care and ensured haemostasis at home. The patient underwent surgery under endotracheal anaesthesia. Debridement of hematoma, closure of arterial wall defect and wound drainage were carried out through an approach in the upper and middle third of the left shoulder.
血管损伤是损伤结构中的一个重要方面。外周动脉损伤患者若未及时接受医疗救治，常继发假性动脉瘤。此情况可能因动脉瘤破裂出血、外周动脉血栓栓塞、血肿感染以及邻近神经受压后的神经病变而变得复杂。我们报告1例1年前因刀伤导致左腋动脉巨大假性动脉瘤患者的手术治疗情况。该患者未寻求专业医疗救治，而是在家中自行止血。患者在气管内麻醉下接受手术。通过左肩中上三分之一处的入路进行血肿清创、动脉壁缺损修复及伤口引流。
