大腿急性隔室综合征并发股深动脉假性动脉瘤。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
A Altun, A VAN Beeck, J Michielsen
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引用次数: 0

摘要

大腿室间隔综合征和股深动脉假性动脉瘤都是罕见的疾病,通常单独发生。如果不及时治疗,这两种疾病都可能导致危及生命的并发症,因此必须进行及时诊断和治疗。急性腔室综合征的诊断可以通过临床症状来怀疑,随后需要通过腔内压力测量来确认。治疗应在 6 小时内进行紧急筋膜切开术。临床上也可怀疑是假性动脉瘤。有多种影像学检查方法可以确诊,其中双相超声检查是首选的诊断检查方法。治疗取决于临床症状的重要性和假性动脉瘤的大小。我们介绍了第一例因股深动脉假性动脉瘤而并发急性大腿室间隔综合征的病例。假性动脉瘤随后并发出血和感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute compartment syndrome of the thigh complicated with a pseudoaneurysm of the arteria profunda femoris.

Compartment syndrome of the thigh and a pseudoaneurysm of the arteria profunda femoris are rare entities that usually occur independently. Untreated, both can lead to life-threatening complications making prompt diagnosis and management mandatory. The diagnosis of an acute compartment syndrome can be suspected clinically, and subsequently needs to be confirmed by intra-compartmental pressure measurement. Treatment should be done by urgent fasciotomy within 6 hours. A pseudoaneurysm can also be suspected clinically. Various imaging modalities exist to confirm the diagnosis, with duplex ultrasound being the diagnostic test of choice. Treatment is depending on the importance of clinical symptoms and on the size of the pseudoaneurysm. We present the first case in which an acute compartment syndrome of the thigh was complicated by a pseudoaneurysm of the arteria profunda femoris. The pseudoaneurysm was subsequently complicated by hemorrhage and infection.

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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
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