静脉吸毒致假性动脉瘤伴感染的诊治  

Diagnosis and treatment of infected pseudoaneurysms resulted from drug injecti on

作　　者：张喜成[1] 何延政[2] 曾宏[2] 岳扬[2] 

机构地区：[1]徐州医学院附属淮安医院普外科,江苏淮安223002 [2]泸州医学院附属医院血管外科,四川泸州646000

出　　处：《中国普通外科杂志》2004年第1期16-18,共3页China Journal of General Surgery

摘　　要：目的　探讨静脉吸毒所致假性动脉瘤伴感染的诊断和治疗方法。方法　回顾性分析因静脉吸毒所致假性动脉瘤患者 11例的临床资料。未手术 1例 ;10例行瘤体切除、瘤腔清创及人工血管移植术。结果　死亡 1例。手术 10例术后均无肢体血供障碍 ,3个月后 8例行彩超检查示人工血管通畅。结论　根据吸毒史、搏动性肿物及辅助检查可确诊。彻底清创、血管移植。Objective To study the diagnosis and treatment of infected pseudoaneurysms(PA) resulting from drug injection. MethodsThe clinical data of 11 cases of i nfected PA resulting from drug injection were reviewed retrospectively.1 pat ient was treated by non-operation,10 cases were treated by artificial blood ve ssel transplantation after removal of PA and local debridement. Results One case dead. All the 10 cases treated by operation had satisfactory results and none had ischemic symptom of the limbs.Eight grafts were patent d emonstrated by color Dopler ultrasonography 3 months postoperatively. Conclusions The diagnosis of PA induced by drug injection can be m ade by the history of drug injection, pulsate mass of injection site. The eff ective treatment should include control of infection,local debridement,PA res ection and blood vessel implantation .

关 键 词：动脉瘤 感染性 诊断 外科学 静脉吸毒 

分 类 号：R543.16[医药卫生—心血管疾病] R163[医药卫生—内科学]