止血带难以阻断的巨大假性动脉瘤的诊疗  

The Diagnosis and Treatment of Giant Pseudo  Aneurysm Failed to be Blocked up by Tourniquet

作　　者：张长明[1] 夏冰[1] 李晓林[1] 沈家宜[1] 黄亚增[1] 程颖[1] 

机构地区：[1]浙江省人民医院骨科

出　　处：《中华骨科杂志》1997年第11期687-688,共2页Chinese Journal of Orthopaedics

摘　　要：作者自１９８５～１９９５年收治５例少见的巨大外伤性动脉瘤，年龄２３～４４岁，均为男性。其特点是近端血供难以用止血带控制阻断，且瘤体巨大，诊断有一定难度。作者认为脱位、骨折等外伤后形成的肿块必须考虑到血管损伤的可能，穿刺、多普勒超声检查及ＤＳＡ（ｄｉｇｉｔａｌｓｕｂｔｒａｃｔｉｏｎａｎｇｉｏｇｒａｐｈｙ）造影有助于确诊。本组５例病人中前２例采用直接探查修补或吻合血管；另外３例先行手术阻断或结扎近端血供而后探查，相比之下后者手术出血少、手术野清晰、便于操作、风险小、安全，经随访１年以上无并发症是值得选用的方法。From 1985 to 1995,Five cases of rare giant Pseudo  aneurysm caused by trauma were treated. All patients were male,aged 23 to 44 years; the aneurysms were hard to be found and blocked up by tourniquet. The authors considered that mass occured affter trauma such as dislocation,fracture,etc. were probably resulted from injury in blood vessels. In two cases repairment or anastomosis were done after direct exploration. In other 3 patients , prior blockage with tourniquets leading to less bleeding in surgical repair. No complications was found in 1  year following up perid . 

关 键 词：外伤性动脉瘤 动脉瘤 止血带 外科手术 诊断 

分 类 号：R543.5[医药卫生—心血管疾病]