摘要
报告了腰骶椎结核病灶清除术中并发大血管损伤,分析损伤的原因是病理性解剖变异、静脉迂曲扩张畸形各1例,手术操作失误3例。为防止发生损伤,作者对腰骶椎周围解剖特点,可能由结核引起的病理性解剖变异、手术入路的选择以及不同血管损伤的处理方法等进行了探讨。强调指出对迂曲扩张的静脉损伤压迫止血时间应在2周后,对大动脉损伤的处理应积极、慎重、准确,对无法缝合止血者也可采用纱布填塞压迫止血,且压迫时间要适当延长。
5 cases were complicated with injured large blood vessels when they were operated for eliminating lumbosacral tuberculosis, 2 of them because of pathologic-anatomic variation and varicose vein respectively, 3 of them because of operating faults. The anatomic characteristics around the lumbosacral vertebra, the pathologic anatomic variation caused by tuberculosis, the operating method and the treatment of various blood vessels injuries were studied in this thesis. The author emphasizes that bleeding varicose vein should be stopped by two week pressing after operation. Treating injury of the large artery should be active, careful and accurate. Filling gauze to stop bleeding can be used in those patients who are unable to be sewed, and the time of stopping bleeding should be properly prolonged.
出处
《泰山医学院学报》
CAS
1992年第3期291-293,共3页
Journal of Taishan Medical College
关键词
腰骶椎
结核
血管损伤
并发症
lumbosacral verthbra
tuberculosis
blood vessel injure
