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医源性肱动脉穿刺后出现伴有正中神经麻痹的假性动脉瘤。

False aneurysm with median nerve palsy after iatrogenic brachial artery puncture.

作者信息

Yip K M, Yurianto H, Lin J

机构信息

Department of Orthopedics and Traumatology, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.

出版信息

Postgrad Med J. 1997 Jan;73(855):43-4. doi: 10.1136/pgmj.73.855.43.

DOI:10.1136/pgmj.73.855.43
PMID:9039411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2431187/
Abstract

We report on a case in which a patient on oral anticoagulation for her aortic valve replacement, with an International Normalised Ratio of 2.13, developed a false aneurysm of the brachial artery after a routine arterial puncture, despite direct pressure to the aspiration site. The false aneurysm was complicated by the development of median nerve palsy.

摘要

我们报告了一例患者，该患者因主动脉瓣置换术接受口服抗凝治疗，国际标准化比值为2.13，在一次常规动脉穿刺后，尽管对穿刺点进行了直接按压，仍发生了肱动脉假性动脉瘤。该假性动脉瘤因正中神经麻痹的发生而变得复杂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/2431187/7fa747859e8d/postmedj00145-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/2431187/7fa747859e8d/postmedj00145-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/2431187/7fa747859e8d/postmedj00145-0044-a.jpg

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本文引用的文献

1
Complications of vascular access devices for hemodialysis.血液透析血管通路装置的并发症
Angiology. 1985 May;36(5):275-84. doi: 10.1177/000331978503600503.
2
Pseudoaneurysm: a complication of faulty technique in femoral arterial puncture.假性动脉瘤：股动脉穿刺技术失误的一种并发症。
Radiology. 1985 Feb;154(2):529-30. doi: 10.1148/radiology.154.2.3966139.
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Vascular trauma in drug abuse: patterns of injury.药物滥用中的血管创伤：损伤模式
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Ann Vasc Surg. 1986 Sep;1(2):175-81. doi: 10.1016/S0890-5096(06)61977-8.
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Subclavian artery false aneurysm associated with brachial plexus palsy: a complication of parenteral drug addiction.锁骨下动脉假性动脉瘤合并臂丛神经麻痹：静脉药物成瘾的一种并发症。
Am J Emerg Med. 1990 Mar;8(2):129-33. doi: 10.1016/0735-6757(90)90200-j.
5
Median nerve palsy--a complication of brachial artery cannulation.正中神经麻痹——肱动脉插管的一种并发症。
Postgrad Med J. 1976;52 Suppl 7:110-3.