静脉吸毒致假性动脉瘤伴感染的诊治
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Diagnosis and treatment of infected pseudoaneurysms resulted from drug injection
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    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、控制感染是治疗吸毒所致假性动脉瘤的有效方法。

    Abstract:

    Objective: To study the diagnosis and treatment of infected pseudoaneurysms(PA) resulting from drug injection. Methods:The clinical data of 11 cases of infected PA resulting from drug injection were reviewed retrospectively.1 patient was treated by nonoperation,10 cases were treated by artificial blood vessel 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 demonstrated by color Dopler ultrasonography 3 months postoperatively. Conclusions :The diagnosis of PA induced by drug injection can be made by the history of drug injection, pulsate mass of injection site. The effective treatment should include control of infection,local debridement,PA resection and blood vessel implantation.

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张喜成,何延政,曾宏,岳扬.静脉吸毒致假性动脉瘤伴感染的诊治[J].中国普通外科杂志,2004,13(1):6-18.
DOI:10.7659/j. issn.1005-6947.2004.01.005

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  • 在线发布日期: 2004-01-25