感染性动脉瘤:类型和治疗。

G Illuminati, F G Caliò, A Bertagni, N Mangialardi, F Vietri
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引用次数: 0

摘要

目的:评价15年来感染性动脉瘤的治疗模式和演变。材料和方法:8例患者8个动脉瘤:4例主动脉-髂动脉,1例颈内动脉,1例胫骨后,1例肘动脉,1例颈内动脉。对于主动脉-髂动脉瘤,治疗包括切除解剖外旁路治疗2例,“原位”假体移植2例。腹外动脉瘤2例行切除/原位静脉移植,2例行单纯切除。结果:一例术后死亡,原因是结扎的主动脉残端破裂。在“原位”治疗主髂动脉瘤和总的主动脉瘤外动脉瘤后,没有发生死亡或主要并发症。结论:葡萄球菌和miceti已成为最常见的致病菌。近年来,“原位”移植联合积极的抗生素治疗成为首选方法,并取得了良好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infectious arterial aneurysms: patterns and treatment.

Purpose: To evaluate patterns and evolution of treatment of infectious arterial aneurysms in a 15 year period.

Material and method: Eight patients bearing 8 arterial aneurysms: 4 aorto-iliac, 1 of the internal carotid, 1 of the posterior tibial, 1 of the cubital, 1 of the internal carotid artery. For the aorto-iliac aneurysms treatment consisted in resection extra-anatomic by-pass in 2, "in situ" prosthetic grafting in the other 2. Extra-abdominal aneurysms were treated by excision/"in situ" vein grafting in two cases and simple resection in other two cases.

Results: One post-operative death occurred, due to rupture of a ligated aortic stump. No death or major complication occurred after "in situ" treatment of aorto-iliac aneurysms and, overall, in extra-aortic aneurysms.

Conclusions: Staphylococcus and miceti have become the most frequently encountered causative agents. "In situ" grafting together with aggressive antibiotic therapy became the preferred method in the recent years and yielded good results.

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