急诊超声检查脾动脉瘤破裂1例。

IF 3.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Critical Ultrasound Journal Pub Date : 2015-12-01 Epub Date: 2015-06-10 DOI:10.1186/s13089-015-0026-4
W L Lo, K L Mok
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引用次数: 11

摘要

脾动脉瘤是一种罕见但潜在致命的疾病。它通常是无症状的,直到破裂。在这里,我们提出一个59岁的男性脾动脉瘤破裂的病例,表现为上腹部疼痛和低血容量性休克。通过急诊超声和CT扫描诊断,并采取开腹手术和脾动脉瘤切除术。患者管理的重点在于快速复苏、诊断成像、外科会诊和随后的剖腹手术。在急诊超声检查中,脾动脉瘤与腹主动脉瘤的鉴别应注意一些缺陷。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Ruptured splenic artery aneurysm detected by emergency ultrasound-a case report.

Splenic artery aneurysm is a rare but a potentially fatal condition. It is usually asymptomatic until it ruptures. Here, we present a case of ruptured splenic artery aneurysm in a 59-year-old gentleman presenting with epigastric pain and hypovolemic shock. The diagnosis was made by emergency ultrasound and CT scan, and he was managed by laparotomy and excision of the splenic artery aneurysm. Priorities in patient management lie in rapid resuscitation, diagnostic imaging, surgical consultation, and subsequent laparotomy. Pitfalls should be borne in mind to differentiate splenic artery aneurysm from abdominal aortic aneurysm when using the emergency ultrasound.

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Critical Ultrasound Journal
Critical Ultrasound Journal RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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