BMJ:感染性股动脉假性动脉瘤——病例报道

2016-11-30 MedSci MedSci原创

患者,男性,47岁,因右腿严重水肿,出现红斑而就诊,触诊柔软。患者有吸毒史,经常通过腹股沟注射海洛因。检查患者白细胞计数为26.9×109 / 1,C反应蛋白水平为280 mg/L,血液培养甲氧西林敏感金黄色葡萄球菌阳性。计算机断层扫描发现股浅动脉存在一个大的假性动脉瘤的(图1⇓)(A),周围有气体,延伸至腹膜后(图1⇓)(B)。结扎受影响动脉,并进行洗脱收集。当吸毒者出现腿或腹股沟肿胀时,应重点

患者,男性,47岁,因右腿严重水肿,出现红斑而就诊,触诊柔软。患者有吸毒史,经常通过腹股沟注射海洛因。

检查患者白细胞计数为26.9×109/l,C反应蛋白水平为280 mg/L,血液培养甲氧西林敏感金黄色葡萄球菌阳性。计算机断层扫描发现股浅动脉存在一个大的假性动脉瘤(图1⇓)(A),周围有气体,延伸至腹膜后(图1⇓)(B)。

图1

处理措施:结扎受影响动脉,并进行洗脱收集。当吸毒者出现腿或腹股沟肿胀时,应重点鉴别感染性股动脉假性动脉瘤。

原始出处:


Nadia Hitchen, Dilshan Warnapala, Matthew Gibson. Infected femoral pseudoaneurysm. BMJ.23 November 2016.

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    2017-09-22 gaoxiaoe
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    2016-12-04 飘飘爱

    非常好

    0

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    2016-11-30 xmax889

    讲的非常好,学习了,非常感谢!

    0