肱动脉结扎治疗静脉吸毒者肘部肱动脉假性动脉瘤破裂6例  

The treatment of ruptured brachial artery pseudoaneurysm in 6 intravenous drug abusers by brachial artery ligation

作　　者：周庆[1] 朱仲伦[1] 谢德[1] 张建军[1] 谭鸿[1] 

机构地区：[1]德阳市人民医院骨科,四川德阳618000

出　　处：《四川医学》2013年第1期71-72,共2页Sichuan Medical Journal

摘　　要：目的探讨经肘部静脉注射吸毒所致肱动脉假性动脉瘤破裂出血患者的急诊救治。方法收集整理2008年12月～2011年8月期间6例因静脉注射吸毒导致肘部肱动脉假性动脉瘤形成,并发感染、破溃出血患者资料,4例出现失血性休克。在积极抗休克等治疗后,急诊手术采用彻底清除创腔,假性动脉瘤切除,肘部肱动脉结扎,Ⅰ期或Ⅱ期关闭创口。结果术后随访4～12个月,平均6个月。6例患者切口均愈合,局部感染治愈,患肢得以保全,假性动脉瘤无复发,伤肢功能评分优良,肢体血循环良好,肢体远端感觉运动功能良好。结论术前评估肢体远端血循环为良好,行动脉瘤切除加肱动脉结扎术对于肱动脉假性动脉破裂出血为切实有效方法。Objective To explore the emergency treatment of pseudoaneurysm rupture with hemorrhage in intravenous drug abusers. Methods Six cases of hraehial artery pseudoaneurysm caused by intravenous drug use admitted to our hospital complicated with infection, hemorrhage, and shock in four of them, from Dec 2008 to Aug 2011. After the treatment of antishock, emergency operation of thoroughly debridement, removal of pseudoaneurysm, brachial artery ligation, suture or secondary suture incision had been adopted. Results After fellow-up visit of 4 ～ 12 months, average 6 months, all of 6 cases had affected limbs preserved with well circulating, good sensory and motor function, local infections cured, no pseudoaneurysm recurrence. Conclu- sion It is a practical effective method in the emergency treatment of pseudoaneurysm rupture with hemorrhage, by means of remo- ving pseudoaneurysm and ligating brachial artery, while evaluating the good blood circulation of affected limb.

关 键 词：肱动脉 假性动脉瘤 静脉吸毒 假性动脉瘤破裂出血 

分 类 号：R749.64[医药卫生—神经病学与精神病学]