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[左锁骨下动脉破裂伴第一肋骨骨折]

[Rupture of the left subclavian artery associated with fracture of the 1st rib].

作者信息

Balique J G, Heynen Y G, Robert M C, Espalieu P, Allard D, Dufraisse G, Mangin M, Bayon M C, Cuilleret J

出版信息

J Chir (Paris). 1983 Apr;120(4):265-9.

PMID:6874753
Abstract

Treatment in a case of partial rupture of the subclavicular artery, provoking subacute ischemia of the upper limb and associated with a fracture of the first rib, was by sternoclavicular disinsertion and resection-suture. The importance of systematic investigation of possible subclavicular lesions in patients with fractured first ribs is emphasized, both during the initial and follow-up examinations. The presence of a fracture of this type has little influence on the classical surgical attitude adapted, apart from the possible need for resection of the first rib.

摘要

一名锁骨下动脉部分破裂、引发上肢亚急性缺血且伴有第一肋骨骨折患者的治疗方法是胸锁关节离断术及切除缝合术。文中强调,在初次检查及随访检查期间,对第一肋骨骨折患者进行可能存在的锁骨下病变的系统检查十分重要。除了可能需要切除第一肋骨外,这种类型的骨折对所采用的传统手术方式影响不大。

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