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[传统血管外科手术相关血管损伤及事故的法医学意义]

[Forensic medical implications of vascular injuries and accidents related to the practice of conventional vascular surgery].

作者信息

Natali J

出版信息

J Mal Vasc. 1996 Nov;21(4):216-9.

PMID:9005239
Abstract

Three areas are covered: neck surgery, thoracic aorta and abdominal aorta surgery. In neck surgery, cerebral vascular events can occur after endarterectomy of the carotid artery or after resection of carotid loops. These accidents are also seen after locoregional anesthesia in carotid surgery. Cases of hemorrhage or cerebral vascular events after chemodectomy are also reported. In thoracic aorta surgery, three cases of paraplegia after exeresis are reported. In abdominal aorta surgery, a case of non operation for aneurysm of the aorta led to legal procedures as did a case of an infected prosthesis. Legal procedures are rare after surgery of the lower limb arteries, despite the frequency of this surgery, but the observations reported demonstrate that amputations may follow an unfavorable course. Focus is increasingly being put on the need to inform the patient before surgery.

摘要

涵盖三个领域

颈部手术、胸主动脉和腹主动脉手术。在颈部手术中,颈动脉内膜切除术后或颈动脉袢切除术后可能发生脑血管事件。这些意外情况在颈动脉手术的局部麻醉后也可见到。化学切除术后出血或脑血管事件的病例也有报道。在胸主动脉手术中,报告了三例切除术后截瘫的病例。在腹主动脉手术中,一例主动脉瘤未手术导致了法律程序,一例感染假体的情况也导致了法律程序。尽管下肢动脉手术很常见,但术后法律程序很少见,但所报告的观察结果表明,截肢可能会有不利的病程。越来越强调在手术前告知患者的必要性。

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