• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>British journal of neurosurgery >Traumatic lumbar artery rupture after lumbar spinal fracture dislocation causing hypovolemic shock: An endovascular treatment
【24h】

Traumatic lumbar artery rupture after lumbar spinal fracture dislocation causing hypovolemic shock: An endovascular treatment

机译：腰椎骨折脱位引起的创伤性腰动脉破裂引起低血容量性休克：血管内治疗

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Recently, we observed a case of lumbar artery injury after trauma, which was treated by endovascular embolization. A 67-year-old woman who was injured in a traffic accident was brought to the emergency room. She was conscious and her hemodynamic condition was stable, but she had paraplegia below L1 dermatome. Contrast-enhanced computed tomography scan of abdomen and pelvis revealed fracture dislocation of L3/4 along with retroperitoneal hematomas. However, there was no evidence of traumatic injury in both thoracic and abdominal cavity. At that time, her blood pressure suddenly decreased to 60/40 mmHg and her mental status deteriorated. Also, her hemoglobin level was 5.4 g/dl. While her hemodynamic condition stabilized with massive fluid resuscitation including blood transfusion, an angiography was immediately performed to look for and embolize site of retroperitoneal hemorrhage. On the angiographic images, there was an active extravasation from ruptured left 3rd lumbar artery, and we performed complete embolization with GELFOAM and coil. Lumbar artery injury after trauma is rare and endovascular treatment is useful in case of hemodynamic instability.
机译：最近，我们观察到一例创伤后腰动脉损伤的病例，通过血管内栓塞治疗。一名交通事故中受伤的67岁妇女被带到急诊室。她有意识，血液动力学状况稳定，但在L1皮刀以下出现截瘫。腹部和骨盆对比增强计算机断层扫描显示L3 / 4骨折脱位以及腹膜后血肿。但是，没有证据表明胸腔和腹腔都有创伤性损伤。那时，她的血压突然降至60/40 mmHg，精神状态恶化。另外，她的血红蛋白水平为5.4g / dl。尽管她的血液动力学状况通过大量输液（包括输血）得以稳定，但立即进行了血管造影以寻找并栓塞腹膜后出血的部位。在血管造影图像上，从左侧第3腰动脉破裂有活跃的渗出，我们用GELFOAM和线圈进行了完全栓塞。创伤后的腰动脉损伤很少见，在血流动力学不稳定的情况下可采用血管内治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号