腹主动脉瘤破裂的早期识别、血流动力学稳定和紧急血管手术

A. Aljefri, A. Alhajji, Fahad Waed Al Shammari, Esra Salman Al Habib, Mohammed Ghanem Alanazi, Anfal Sayed Esam, Faisal Abdullah Alghamdi, Hassan H. Alajmi, Nojoud Mohammed Basahal, Khadijah Mohammed Qattan, A. A. Alwakeel
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摘要

腹主动脉瘤破裂(rAAA)极其危险。需要引起重视。这篇详尽的综述探讨了 rAAA 的处理方法,重点是检测稳定血流和紧急血管手术。识别强烈腹痛、低血压、腹部搏动性肿块、下肢血流减少迹象和背痛等症状对于快速识别至关重要。超声波和计算机断层扫描血管造影术(CTA)等影像诊断技术在确诊和评估风险方面发挥着重要作用。通过平衡复苏努力和各种方法来妥善管理血液动力学,对于控制持续出血至关重要。紧急血管手术的选择包括动脉瘤修补术(EVAR)和开放式修补术;选择取决于解剖结构、血流稳定性和手术专业知识等因素。优先优化以应对任何健康状况,并在术后密切监测患者,这对总体成功率大有裨益。医护人员之间的协作方法确保了在手术期间采取多学科策略,强调有效沟通。这种综合方法的目的是在考虑研究和临床实践进展的同时,在处理具有挑战性的 rAAA 时取得成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ruptured abdominal aortic aneurysms early recognition, hemodynamic stabilization, and emergency vascular surgery
Ruptured abdominal aortic aneurysms (rAAAs) are extremely dangerous. Require attention. This thorough review explores the management of rAAA, focusing on the detection stabilizing blood flow and emergency vascular surgery. Recognizing symptoms such as intense abdominal pain, low blood pressure, a pulsating mass in the abdomen, signs of reduced blood flow to the lower limbs, and back pain is crucial for quick identification. Diagnostic imaging techniques like ultrasound and computed tomography angiography (CTA) play a role in confirming the diagnosis and assessing the risk involved. Properly managing hemodynamics by balancing resuscitation efforts with approaches is essential to control ongoing bleeding. Emergency vascular surgery options include aneurysm repair (EVAR) and open repair; the choice depends on factors like anatomy, stability of blood flow, and surgical expertise. Prioritizing optimization to address any health conditions and closely monitoring patients after surgery greatly contribute to overall success rates. A collaborative approach among healthcare professionals ensures a multidisciplinary strategy during the period emphasizing effective communication. This comprehensive approach aims for outcomes in dealing with challenging rAAAs while considering advancements in research and clinical practices.
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