Zieren J, Kasper A, Landwehr P, Erasmi H
Klinik und Poliklinik für Chirurgie, Universität zu Köln.
Chirurg. 1994 Nov;65(11):1058-60.
By means of a case report the diagnostic and therapeutic procedures and prognosis of a pseudo-aneurysm of the axillary artery after shoulder dislocation are demonstrated. The diagnosis of aneurysms of the axillary artery is difficult in some cases. It is important to mention a possible vascular injury in case of close reduction of the shoulder. Therefore in all patients with a penetrating or blunt trauma of the shoulder or the upper arm a thorough neurovascular examination is required. In patients with neurologic deficits or alteration of the pulse a duplex ultrasound examination should be performed and in dubious cases an additional arteriography is indicated.
通过一例病例报告展示了肩关节脱位后腋动脉假性动脉瘤的诊断、治疗过程及预后。在某些情况下,腋动脉动脉瘤的诊断较为困难。在肩关节闭合复位时提及可能存在的血管损伤很重要。因此,对于所有肩部或上臂有穿透性或钝性创伤的患者,都需要进行全面的神经血管检查。对于有神经功能缺损或脉搏改变的患者,应进行双功超声检查,在可疑病例中还需进行动脉造影。