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題 名 | Brachial Artery Ligation and Thorough Debridement: A Simple and Safe Treatment for Severe Infection of a Vascular Access Site in the Upper Extremity=肱動脈結紮及徹底清創:簡易且安全的嚴重上肢血管通路感染之治療 |
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作 者 | 諶大中; | 書刊名 | 慈濟醫學 |
卷 期 | 17:3 民94.06 |
頁 次 | 頁159-162+201 |
分類號 | 416.263 |
關鍵詞 | 動靜脈瘻管; 人工血管; 血液透析; 感染; 手術合併症; Arteriovenous shunt; Blood vessel prosthesis; Hemodialysis; Infection; Postoperative complications; |
語 文 | 英文(English) |
中文摘要 | 目的:本篇之目的在呈現嚴重血管通感染之臨床表現及其適切處理。病人與方法:我們整理了於2002年到2004年6月來本院就診之五位透析用動靜脈人工血管感染及一位化療動脈導管感染併假性動脈瘤形成的病例。此為一回溯性病例整理。結果:患者為五位男性及一位女性,年齡分布從44到77歲。其中三位有前臂環形動靜脈人工血管,二位有上臂直式動脈人工血管,而另一位則是由肱動脈植入至主動脈的化療導管。人工血管的材質全為ePTFE。病患中有三位有糖尿病,有一位有心衰竭。所有的病患均接受緊急肱動脈結紮及徹底清創手術,其中五位康復,而另一位因敗血症及多重器官衰竭去世。所有的傷口都復原良好且無任何肢體缺氧之情形。結論:肱動脈結紮及徹底清創是簡易且安全的嚴重上肢血管通路感染之治療方式。 |
英文摘要 | Objective: This retrospective review was designed to present the clinical manifestations of severe infection of a vascular access site and appropriate management under emergency and life-threatening circumstances. Patients and Methods: A retrospective chart review of five consecutive patients who presented with extensive arteriovenous graft infection and one patient who presented with arteria catheter infection and pseudoaneurysm formation from 2002 to 2004 was performed. Results: There were five men and one woman, from 44 to 77 years old. Three had forearm loop and two had upper arm straight arteriovenus grafts. The other patient had a left brachial artery indwelling chemoport. The hemodialysis grafts were all expanded polytetrafluoroethylene vascular prostheses (ePTEE). Three patients had diabetes, and one had congestive heart failure. All patients underwent emergency brachial artery ligation, total graft removal, through debridement, and direct wound closure over drainage tubes. Five patients survived, and one later died of spsis and multiple organ failure. No wound complication or distal limb ischemia was encountered. Conclusions: Brachial artery ligation and thorough debridement is a simple and safe treatment for severe infection of a vascular access site in the upper extremity. |
本系統中英文摘要資訊取自各篇刊載內容。