自发性腹腔干动脉夹层延误诊治1例
摘要
该文报告了自发性腹腔干动脉夹层延误诊治1例。患者因"突发胸痛伴呼吸困难半天"入院,腹部CT及超声检查均未发现异常,考虑为消化性溃疡,仅给予严密观察和对症治疗。观察期间,患者剧烈腹痛,发生腹腔出血并失血性休克,急诊行脾切除+胰尾修补术。术后CT血管造影检查提示腹腔干、肝固有动脉、左肾动脉起始部夹层动脉瘤,患者休克的原因为脾动脉夹层破裂。
引文
[1] Garrett HE Jr.Options for treatment of spontaneous mesenteric artery dissection [J].Vasc Surg,2014,59(5):1433-1439.
[2] Tanaka Y,Yoshimuta T,Kimura K,et al.Clinical characteristics of spontaneous isolated visceral artery dissection [J].Vasc Surg,2018,67(4):1127-1133.
[3] D′Ambrosio N,Friedman B,Siegel D,et al.Spontaneous isolated dissection of the celiac artery:CT findings in adults [J].AJR Am J Roentgenol,2007,188(6):W506-W511.
[4] Neychev V,Krol E,Dietzek A.Unusual presentation and treatment of spontaneous celiac artery dissection [J].Vasc Surg,2013,58(2):491-495.
[5] Solis MM,Ranval TJ,McFarland DR,et al.Surgical treatment of superior mesenteric artery dissecting aneurysm and simultaneous celiac artery compression [J].Ann Vasc Surg,1993,7(5):457-462.
[6] Nonami S,Nakanishi T,Tanizaki S,et al.Characteristics and diagnostic pitfalls of spontaneous visceral artery dissection in the emergency department [J].Am J Emerg Med,2016,34(6):1092-1096.
[7] 孙捷,张鸿坤.自发性孤立性腹腔干动脉夹层的形态学分型和治疗进展[J].浙江医学,2017,39(19):1627-1629.
[8] Takayama T,Miyata T,Shirakawa M,et al.Isolated spontaneous dissection of the splanchnic arteries [J].Vasc Surg,2008,48(2):329-333.
[9] 刘佳怿,张正华,赵卫.脾动脉假性动脉瘤并腹腔干夹层1例报告[J].中国实用外科杂志,2013,33(12):1079.
[10] Batt M,Baque J.Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with detachable vascular plugs[J].Vasc Surg,2011,54(6):1812-1815.
[11] Kim J,Moree LH,Muehlberger MJ.A case of spontaneous isolated celiac artery dissection with pseudoaneurysm formation[J].Cureus,2017,9(8):e1616.
[12] Alcantara S,Yang CK,Sasson J,et al.The evidence for nonoperative management of visceral artery dissections:A single-center experience [J].Ann Vasc Surg,2015,29(1):103-108.
[13] Amabile P,Ouaissi M,Cohen S,et al.Conservative treatment of spontaneous and isolated dissection of mesenteric arteries [J].Ann Vasc Surg,2009,23(6):738-744.
[14] Jung SC,Lee W,Park EA,et al.Spontaneous dissection of the splanchnic arteries:CT findings,treatment,and outcome [J].AJR Am J Roentgenol,2013,200(1):219-225.
[15] 张海滨,张磊.急性腹痛与腹腔内脏动脉夹层的临床诊治[J].中国临床医生杂志,2018,46(1):13-15.
[16] 王小红,徐军,亓波.特发性腹腔干夹层合并肾动脉闭塞1例[J].中国临床医学影像杂志,2009,20(6):497-498.
[2] Tanaka Y,Yoshimuta T,Kimura K,et al.Clinical characteristics of spontaneous isolated visceral artery dissection [J].Vasc Surg,2018,67(4):1127-1133.
[3] D′Ambrosio N,Friedman B,Siegel D,et al.Spontaneous isolated dissection of the celiac artery:CT findings in adults [J].AJR Am J Roentgenol,2007,188(6):W506-W511.
[4] Neychev V,Krol E,Dietzek A.Unusual presentation and treatment of spontaneous celiac artery dissection [J].Vasc Surg,2013,58(2):491-495.
[5] Solis MM,Ranval TJ,McFarland DR,et al.Surgical treatment of superior mesenteric artery dissecting aneurysm and simultaneous celiac artery compression [J].Ann Vasc Surg,1993,7(5):457-462.
[6] Nonami S,Nakanishi T,Tanizaki S,et al.Characteristics and diagnostic pitfalls of spontaneous visceral artery dissection in the emergency department [J].Am J Emerg Med,2016,34(6):1092-1096.
[7] 孙捷,张鸿坤.自发性孤立性腹腔干动脉夹层的形态学分型和治疗进展[J].浙江医学,2017,39(19):1627-1629.
[8] Takayama T,Miyata T,Shirakawa M,et al.Isolated spontaneous dissection of the splanchnic arteries [J].Vasc Surg,2008,48(2):329-333.
[9] 刘佳怿,张正华,赵卫.脾动脉假性动脉瘤并腹腔干夹层1例报告[J].中国实用外科杂志,2013,33(12):1079.
[10] Batt M,Baque J.Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with detachable vascular plugs[J].Vasc Surg,2011,54(6):1812-1815.
[11] Kim J,Moree LH,Muehlberger MJ.A case of spontaneous isolated celiac artery dissection with pseudoaneurysm formation[J].Cureus,2017,9(8):e1616.
[12] Alcantara S,Yang CK,Sasson J,et al.The evidence for nonoperative management of visceral artery dissections:A single-center experience [J].Ann Vasc Surg,2015,29(1):103-108.
[13] Amabile P,Ouaissi M,Cohen S,et al.Conservative treatment of spontaneous and isolated dissection of mesenteric arteries [J].Ann Vasc Surg,2009,23(6):738-744.
[14] Jung SC,Lee W,Park EA,et al.Spontaneous dissection of the splanchnic arteries:CT findings,treatment,and outcome [J].AJR Am J Roentgenol,2013,200(1):219-225.
[15] 张海滨,张磊.急性腹痛与腹腔内脏动脉夹层的临床诊治[J].中国临床医生杂志,2018,46(1):13-15.
[16] 王小红,徐军,亓波.特发性腹腔干夹层合并肾动脉闭塞1例[J].中国临床医学影像杂志,2009,20(6):497-498.