摘要
目的提高医源性假性动脉瘤的诊治水平。方法报告２２例医源性假性动脉瘤诊治经验。男性１９例，女性３例。年龄２０～７８岁，平均４３．６岁。病程７小时～１３个月，平均４．７个月。１６例行择期手术，３例急诊手术，压迫治疗４例。结果手术治疗１９例均痊愈，压迫治疗者１例失败改行手术治疗。结论医源性损伤是假性动脉瘤的主要原因，并且是可以预防的。假性动脉瘤治疗应根据患者的具体情况而定。对于动脉穿刺所致的假性动脉瘤患者病程不超过１个月。压迫治疗可作为首选的治疗方式。
Objective To improve the diagnosis and treatment of iaotrogenic pseudoaneurysm,22 cases of iaotrogenic pseudoaneurysm were evaluated.Methods There were 19 men and 3 women,aged from 20 to 78 years(average 43.6 years). The clinical courses ranged from 7 hours to 13 months with an average duration of 4 7 months.16 elective,and 3 emergency operations were performed.Results 19 cases were treate saccessfully,and one who had had compression repair failed received operative treatment.Conclusions Iaotrogenic injury is the main cause of traumatic pseudoaneurysm,and can be prevented.Its treatment should accord to individual cases.Compression repair can be considered the first step for the management of postcatheterization pseudoaneurysms.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第2期91-92,共2页
Chinese Journal of Surgery
