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左髂动脉瘤自发性破裂。病例报告。

Spontaneous rupture of a left iliac arterial aneurysm. A case report.

作者信息

Stefanidis C, Servais J, Algaba R, Fazeli F, Van Gysel J P, Dernier P

机构信息

Department of Vascular Surgery, Centre Hospitalier J. Bracops, Brussels, Belgium.

出版信息

Acta Chir Belg. 1995 Jan-Feb;95(1):11-3.

PMID:7900484
Abstract

Isolated aneurysm of the iliac arteries is rare. It represents only 1.7% of the aneurysms of the aortic bifurcation involving the arteries (7, 13) and its rupture can be fatal. It is located deep in the pelvis and it is often difficult to detect clinically. The symptoms can mimic genitourinary, gastrointestinal or neurologic disorders. Prompt diagnosis by computerized tomography must be made in cases of emergency. Urgent aneurysmectomy is indicated in case of rupture. The average mortality rate is 50%.

摘要

孤立性髂动脉瘤较为罕见。它仅占累及动脉的主动脉分叉处动脉瘤的1.7%(7, 13),其破裂可能是致命的。它位于盆腔深部,临床上常难以检测到。症状可能类似泌尿生殖系统、胃肠道或神经系统疾病。在紧急情况下必须通过计算机断层扫描迅速做出诊断。破裂时需紧急进行动脉瘤切除术。平均死亡率为50%。

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