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颈肋：远端和脑栓塞的一个病因。

Cervical ribs: a cause of distal and cerebral embolism.

作者信息

Bearn P, Patel J, O'Flynn W R

机构信息

Department of Surgery, Guy's Hospital, London, UK.

出版信息

Postgrad Med J. 1993 Jan;69(807):65-8. doi: 10.1136/pgmj.69.807.65.

DOI:10.1136/pgmj.69.807.65
PMID:8446557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2399581/
Abstract

The thoracic outlet syndrome occurs when the neurovascular structures are compressed as they traverse the thoracic outlet. Degenerative changes can occur in the subclavian artery and the vessel may become a source of embolism with the risk of acute or chronic upper limb ischaemia. Rarely, distal thromboembolism in the thoracic outlet syndrome may be associated with retrograde flow when there is the added risk of cerebral thromboembolism.

摘要

当神经血管结构在穿过胸廓出口时受到压迫，就会发生胸廓出口综合征。锁骨下动脉可能出现退行性改变，该血管可能成为栓子来源，存在急性或慢性上肢缺血的风险。在胸廓出口综合征中，当存在脑血栓栓塞的额外风险时，罕见的远端血栓栓塞可能与逆流有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/125e8cb3ac4e/postmedj00049-0070-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/ebcb590b87e6/postmedj00049-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/d97b2e9211e3/postmedj00049-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/125e8cb3ac4e/postmedj00049-0070-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/ebcb590b87e6/postmedj00049-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/d97b2e9211e3/postmedj00049-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbb/2399581/125e8cb3ac4e/postmedj00049-0070-b.jpg

相似文献

1
Cervical ribs: a cause of distal and cerebral embolism.颈肋：远端和脑栓塞的一个病因。
Postgrad Med J. 1993 Jan;69(807):65-8. doi: 10.1136/pgmj.69.807.65.
2
The subclavian artery in 16 patients with complete cervical ribs.16例伴有完整颈肋患者的锁骨下动脉
J Cardiovasc Surg (Torino). 1975 Mar-Apr;16(2):135-41.
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Cervical rib with stroke as the initial presentation.以中风为首发表现的颈肋。
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Thoracic outlet syndrome with arm ischemia as a complication of cervical rib.胸廓出口综合征伴手臂缺血，为颈肋的并发症。
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[Acute ischemia in the upper extremity caused by cervical rib].
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Cerebral embolic stroke and arm ischemia in a teenager with arterial thoracic outlet syndrome: a case report.一名患有胸廓出口综合征的青少年发生脑栓塞性中风和手臂缺血：病例报告
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[Cervical rib as a cause of embolism of arteries of the upper limbs].
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A 12-year-old girl with absent radial pulse: arterial thoracic outlet syndrome with subclavian artery aneurysm and thrombosis of the brachial artery.一名 12 岁女孩桡动脉搏动消失：胸廓出口综合征伴锁骨下动脉动脉瘤和肱动脉血栓形成。
Eur J Pediatr. 2012 Nov;171(11):1707-9. doi: 10.1007/s00431-012-1748-y. Epub 2012 Apr 28.

本文引用的文献

1
Subclavius and anterior scalene muscle compression as a cause of intermittent obstruction of the subclavian vein.锁骨下肌和前斜角肌压迫作为锁骨下静脉间歇性梗阻的一个原因。
Ann Surg. 1951 May;133(5):588-602. doi: 10.1097/00000658-195105000-00002.
2
CEREBRAL AND PERIPHERAL EMBOLI CAUSED BY CERVICAL RIBS.颈肋引起的脑和外周栓塞
Br Med J. 1963 Oct 5;2(5361):835-7. doi: 10.1136/bmj.2.5361.835.
3
Research and prosearch.研究与预研。
J Thorac Cardiovasc Surg. 1962 Aug;44:153-66.
4
Subclavicular approach to first rib resection.经锁骨下入路进行第一肋骨切除术。
Am J Surg. 1980 May;139(5):634-6. doi: 10.1016/0002-9610(80)90351-7.
5
Arterial thromboembolism of the upper extremity associated with the thoracic outlet syndrome.与胸廓出口综合征相关的上肢动脉血栓栓塞
J Cardiovasc Surg (Torino). 1982 May-Jun;23(3):214-20.
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Staging of arterial complications of cervical rib: guidelines for surgical management.
Surgery. 1984 Jun;95(6):644-9.
7
Transaxillary approach for first rib resection to relieve thoracic outlet syndrome.经腋路第一肋骨切除术治疗胸廓出口综合征
Ann Surg. 1966 Mar;163(3):354-8. doi: 10.1097/00000658-196603000-00005.
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Vascular complications of thoracic outlet syndrome.
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Thoracic and vascular aspects of thoracic outlet syndrome. 1986 update.
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Arterial complications of the thoracic outlet syndrome: fifty-five operative cases.胸廓出口综合征的动脉并发症：55例手术病例
J Vasc Surg. 1989 Jun;9(6):778-87.