罕见血管异常病人成功的外科治疗案例 - 肾下主动脉发育不良
- 作者: Kharazov A.F.1,2, Kulbak V.A.1,3, Basirova N.M.2
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隶属关系:
- Vishnevsky National Medical Research Center of Surgery
- Russian Medical Academy of Continuing Post-Graduate Education
- Lomonosov Moscow State University
- 期: 卷 28, 编号 4 (2020)
- 页面: 506-513
- 栏目: Clinical reports
- ##submission.dateSubmitted##: 16.05.2020
- ##submission.dateAccepted##: 11.12.2020
- ##submission.datePublished##: 15.12.2020
- URL: https://journals.eco-vector.com/pavlovj/article/view/19224
- DOI: https://doi.org/10.23888/PAVLOVJ2020284506-513
- ID: 19224
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详细
目的:演示一个罕见血管异常患者的治疗案例 -肾下主动脉发育不良。
以41岁的患者U的临床例子为例有下肢严重缺血,根据临床和仪器数据诊断出腹主动脉发育不全表现出这种疾病的表现,诊断和成功手术治疗这种病理的可能性。
结果。主动脉发育不良的临床表现取决于损伤的局限性和参与肾动脉。最常见的临床症状是高血压和高血压相关症状。同时主动脉增生也可以表现为上肢肥大,加上下肢肌肉发育不良。年龄较大的患者观察到导致下肢临床有意义缺血的动脉衰竭。因此我们所描述的情况下病人已经在下肢缺血性营养性溃疡。如果这些患者不予治疗,继发性高血压和心力衰竭可导致患者早逝。无论疾病的病因如何,外科是目前治疗这种疾病的唯一有效方法。我们的病人的情况下,我们做了一个动脉硬化和他的假肢切除术。这使身体下部的血液流量得以恢复,并最终导致大部营养性溃疡完全愈合和系统性动脉压力正常化。
全文:
作者简介
Alexander Kharazov
Vishnevsky National Medical Research Center of Surgery; Russian Medical Academy of Continuing Post-Graduate Education
Email: harazik@mail.ru
ORCID iD: 0000-0002-6252-2459
SPIN 代码: 5239-8127
Researcher ID: Q-8901-2018
MD, PhD, Associate Professor of the Department of Vascular and X-Ray Endovascular Surgery; Senior Researcher of the Vascular Surgery Departmen
俄罗斯联邦, 2/1, Barrikadnaya st., Moscow, 125993; 7, Bolshaya Serpukhovskaya street, Moscow, 117997Vladimir Kulbak
Vishnevsky National Medical Research Center of Surgery; Lomonosov Moscow State University
Email: v_kulbak@mail.ru
ORCID iD: 0000-0001-6743-4012
SPIN 代码: 1111-0538
MD, PhD, Associate Professor of the Department of Surgery of the Faculty of Fundamental Medicine; Researcher of the Vascular Surgery Department
俄罗斯联邦, Moscow; MoscowNaida Basirova
Russian Medical Academy of Continuing Post-Graduate Education
编辑信件的主要联系方式.
Email: dr.basirova@mail.ru
ORCID iD: 0000-0002-8933-5602
SPIN 代码: 1957-4287
PhD-student of the Department of Vascular and X-Ray Endovascular Surgery
俄罗斯联邦, Moscow参考
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