目的探討胰周動(dòng)脈瘤破裂出血的診治。方法回顧3例胰周動(dòng)脈瘤破裂出血患者的診治過(guò)程,并結(jié)合相關(guān)文獻(xiàn)進(jìn)行分析。 結(jié)果3例患者胰周動(dòng)脈瘤破裂出血并失血性休克,其中1例術(shù)前經(jīng)CT檢查獲得診斷,2例術(shù)前未能診斷。2例經(jīng)手術(shù)止血治愈,分別隨訪1年和1年2個(gè)月,未見復(fù)發(fā)及相關(guān)并發(fā)癥; 1例經(jīng)搶救無(wú)效死亡。結(jié)論胰周動(dòng)脈瘤破裂出血病情發(fā)展迅速,術(shù)前診斷困難,盡快液體復(fù)蘇及積極手術(shù)探查止血是挽救生命的關(guān)鍵。
引用本文: 許景洪,張涌泉,李立志,黃文文. 胰周動(dòng)脈瘤破裂出血的診治分析. 中國(guó)普外基礎(chǔ)與臨床雜志, 2011, 18(7): 769-771. doi: 復(fù)制
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- 1. Moore E, Matthews MR, Minion DJ, et al. Surgical management of peripancreatic arterial aneurysms [J]. J Vasc Surg, 2004, 40(2): 247253.
- 2. 黃新天. 內(nèi)臟常見動(dòng)脈瘤常見原因及診治 [J]. 中國(guó)實(shí)用外科雜志, 2009, 29(11): 894896.
- 3. Ivascu FA, Janczyk RJ, Bair HA, et al. Spontaneous retroperitoneal hemorrhage [J]. Am J Surg, 2005, 189(3): 345347.
- 4. Shah RD, Nagar S, Shanley CJ, et al. Factors affecting the severity of spontaneous retroperitoneal hemorrhage in anticoagulated patients [J]. Am J Surg, 2008, 195(3): 410413.
- 5. 陸恩祥. 彩色多普勒超聲對(duì)內(nèi)臟動(dòng)脈瘤的診斷價(jià)值 [EB/OL]. 中華醫(yī)學(xué)超聲雜志(電子版), 2006, 3(4): 216218.
- 6. Palmucci S, Mauro LA, Milone P, et al. Diagnosis of ruptured superior mesenteric artery aneurysm mimicking a pancreatic mass [J]. World J Gastroenterol, 2010, 16(18): 22982301.
- 7. 楊玨, 陳福真, 史振宇, 等. 內(nèi)臟動(dòng)脈瘤診治經(jīng)驗(yàn) [J]. 腹部外科, 2001, 14(2): 7073.
- 8. 孫海軍, 劉冰, 薛冬波, 等. 腹主動(dòng)脈瘤破裂的臨床分析(附6例報(bào)告)[J]. 中國(guó)普外與基礎(chǔ)臨床雜志, 2007, 14(2): 213214.
- 9. 路軍良, 李京雨, 張強(qiáng), 等. 腹腔內(nèi)臟血管動(dòng)脈瘤的介入治療方法探討 [J]. 介入放射學(xué)雜志, 2009, 18(2): 9092.
- 10. 李說(shuō), 王建華, 顏志平, 等. 經(jīng)血管腔內(nèi)治療21例內(nèi)臟動(dòng)脈瘤的臨床療效 [J]. 中國(guó)臨床醫(yī)學(xué), 2009, 16(1): 4749.
- 11. PérezVallecillos P, CondeMuío R, SeguraJiménez I, et al. Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: case report [J]. BMC Gastroenterol, 2010, 10: 59.
- 12. Ferrero E, Gaggiano A, Ferri M, et al. Visceral artery aneurysms: series of 17 cases treated in a single center [J]. Int Angiol, 2010, 29(1): 3036.
- 13. Pulli R, Dorigo W, Troisi N, et al. Surgical treatment of visceral artery aneurysms: A 25year experience [J]. J Vasc Surg, 2008, 48(2): 334342.
- 14. Sima L, Tirziu R, Lliescu D, et al. Spontaneous rupture of gastroduodenal artery aneurysm [J]. Chirurgia (Bucur), 2010, 105(5): 717720.
- 15. 馬俊, 魏煒, 林豐. 腹部卒中的診斷和治療 [J]. 中國(guó)普外與基礎(chǔ)臨床雜志, 2007, 14(5): 619622.