west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "下肢血管" 3 results
  • Diagnostic Value and Post-operative Evaluation of MRA and CTA in Vascular Lesions of Low Extremity Caused by Crush Injury after Earthquake

    目的:探讨磁共振血管造影(MRA)以及计算机断层扫描血管成像(CTA)对地震挤压伤下肢血管病变的临床价值。方法:对5·12汶川大地震中我院收治的已确诊为地震挤压伤致双下肢横纹肌溶解症3例患者进行双下肢MRA检查,并对严重挤压伤及下肢毁损,并行截肢的另三名患者进行术后CTA检查。对MRA图象双下肢动脉进行回顾性分析,总结MRA征象,同时总结截肢术后患者CTA表现及临床价值,并评价二者检查在挤压伤所至横纹肌溶解症的临床诊治中的作用。结果:3例未行截肢患者MRA双下肢主要动脉未见确切狭窄及闭塞征象,管腔内未见充盈缺损影。3例已行截肢患者可见残余肢体的明显肿胀,双侧髂血管以及部分截断肢体远端血管内见止血弹簧钢圈影像,部分截断肢体远端动脉分支变细。截断血管未见再通,周围无渗血改变。结论:MRA、CTA能直观显示双下肢动脉损伤及术后情况,在临床应用中各有优势和局限性。对二者的合理选择能为临床诊治提供有利信息。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • 下肢血管畸形的手术治疗

    目的 总结下肢血管畸形的手术方法及疗效。 方法 2012 年 7 月—2015 年 7 月,收治下肢血管畸形患者 138 例。男 51 例,女 87 例;年龄 3~55 岁,平均 28.3 岁。静脉畸形 98 例,动静脉畸形 40 例。病变部位:臀部 24 例,大腿 30 例,臀部及大腿 23 例,小腿 35 例,大腿及小腿 9 例,累及整个下肢 17 例。其中 106 例行单纯手术切除,32 例行术前髂外动脉球囊栓塞+手术切除。 结果 术后 4 例植皮区发生部分皮片坏死,经换药后 Ⅱ 期愈合;余患者皮瓣及移植皮片均顺利成活,创面及供区切口均 Ⅰ 期愈合。患者均获随访,随访时间 4 个月~3 年,平均 18 个月。手术治愈率 84.8%(117/138)。复发患者均给予局部注射鱼肝油酸钠后,无再次复发。 结论 在严格掌握手术指征前提下,单纯手术切除或联合术前髂外动脉球囊栓塞可有效治疗下肢血管畸形。

    Release date:2017-05-05 03:16 Export PDF Favorites Scan
  • Progress of perioperative pain management in patients with lower limb vascular diseases

    ObjectiveTo summarize the progress of perioperative pain management in patients with lower limb vascular diseases. MethodRetrieved the literature about pain management in patients with lower limb vascular diseases both at home and abroad in recent years and reviewed the literature. ResultsLower limb vascular diseases were very common in elderly patients. Whether it was limb ischemic pain or surgery-related pain, it often increased the stress response and activation of the autonomic system, which was not conducive to the recovery of the disease. Good analgesic management was important for these patients. Perioperative pain management could be performed by intravenous analgesics, oral analgesics, local anesthesia, neuraxial anesthesia and peripheral nerve block. Acute and chronic pain should be actively managed during perioperative period. Pre-emptive analgesic strategies could be implemented in patients with severe peripheral vascular disease. ConclusionsGood perioperative analgesia management is necessary. Pain management which employes one or more analgesic methods is important in maximizing pain relief, function, and quality of life for this patient group.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content