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血友病患者手部创伤性假性动脉瘤

Traumatic false aneurysm of the hand in hemophilia.

作者信息

Lokey H, Phelps D B, Boswick J A

出版信息

J Trauma. 1978 Apr;18(4):283-4. doi: 10.1097/00005373-197804000-00014.

DOI:10.1097/00005373-197804000-00014
PMID:660677
Abstract

An unusual case of traumatic false aneurysm following a puncture wound in the hand of a hemophiliac, despite Factor VIII replacement, demonstrates the necessity for careful evaluation of such patients when there is profuse and continued bleeding. Following surgical repair of the false aneurysm and the ulnar proper digital nerve of the thumb 17 days postinjury the patient had an uncomplicated recovery. Partial arterial laceration, the underlying pathology of this lesion, may be demonstrated by arteriography or surgical exploration.

摘要

一名血友病患者手部穿刺伤后发生创伤性假性动脉瘤,尽管补充了凝血因子Ⅷ,但这一罕见病例表明,当出现大量持续出血时,对此类患者进行仔细评估的必要性。受伤17天后对假性动脉瘤和拇指尺侧固有指神经进行手术修复,患者恢复顺利。动脉造影或手术探查可显示该病变的潜在病理——部分动脉撕裂。

相似文献

1
Traumatic false aneurysm of the hand in hemophilia.血友病患者手部创伤性假性动脉瘤
J Trauma. 1978 Apr;18(4):283-4. doi: 10.1097/00005373-197804000-00014.
2
[Hypothenar aneurysm of the ulnar artery. Apropos of a case treated by excision and anastomosis].[尺动脉小鱼际动脉瘤。附一例切除吻合术治疗病例]
J Chir (Paris). 1989 Dec;126(12):668-71.
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[Post-traumatic aneurysm of the hand: 3 clinical cases].[手部创伤后动脉瘤:3例临床病例]
Med Lav. 2000 Mar-Apr;91(2):142-7.
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[Pseudoaneurysm of the radial artery in the hand].[手部桡动脉假性动脉瘤]
J Mal Vasc. 2015 Feb;40(1):53-7. doi: 10.1016/j.jmv.2014.12.006. Epub 2015 Jan 5.
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Traumatic false aneurysms of peripheral arteries in children.儿童外周动脉创伤性假性动脉瘤
South Med J. 1992 Jun;85(6):665-6. doi: 10.1097/00007611-199206000-00023.
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[Post-traumatic aneurysm of the ulnar artery--a report of 2 cases].[创伤后尺动脉瘤——2例报告]
Chir Narzadow Ruchu Ortop Pol. 2005;70(5):373-7.
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True aneurysms of the palmar arch of the hand: a report of two cases.手部掌弓真性动脉瘤:两例报告。
Microsurgery. 1996;17(2):102-5. doi: 10.1002/(SICI)1098-2752(1996)17:2<102::AID-MICR5>3.0.CO;2-P.
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[False aneurysm of the palmar arch in a child: a case report].
Pan Afr Med J. 2021 May 3;39:4. doi: 10.11604/pamj.2021.39.4.28933. eCollection 2021.
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Ulnar artery aneurysm of the hand.手部尺动脉动脉瘤
Int Surg. 1983 Jul-Sep;68(3):215-7.
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True and false traumatic aneurysms in the hand.手部真性和假性创伤性动脉瘤
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引用本文的文献

1
Acute digit ischemia due to a ruptured digital collateral artery aneurysm in a patient of hemophilia: A case report.血友病患者因指侧副动脉瘤破裂导致急性手指缺血:一例报告
J Orthop Case Rep. 2023 Nov;13(11):70-74. doi: 10.13107/jocr.2023.v13.i11.4010.
2
Surgical Reconstruction of Traumatic Pseudoaneurysm of Palmar Arch Caused by Blunt Trauma.钝性创伤所致手掌动脉弓创伤性假性动脉瘤的外科重建
Vasc Specialist Int. 2022 Dec 13;38:30. doi: 10.5758/vsi.220031.
3
Enormous Articular Hemorrhage Following Arthroscopy, Total Joint Replacement and other Surgical Operations in Hemophilic Patients due to Arterial Pseudoaneurysms: Diagnosis and Treatment.
血友病患者关节镜检查、全关节置换及其他外科手术后因动脉假性动脉瘤导致的巨大关节出血:诊断与治疗
Arch Bone Jt Surg. 2021 Sep;9(5):475-479. doi: 10.22038/abjs.2020.47158.2302.
4
Musculo-skeletal problems of the hand in haemophilia.血友病患者手部的肌肉骨骼问题。
EFORT Open Rev. 2020 Jun 1;5(6):328-333. doi: 10.1302/2058-5241.5.190078. eCollection 2020 Jun.
5
Peripheral nerve injuries in haemophilia.血友病中的周围神经损伤
Blood Transfus. 2014 Jan;12 Suppl 1(Suppl 1):s313-8. doi: 10.2450/2012.0111-12. Epub 2012 Dec 5.