Objective To evaluate repair and reconstructionof the femoral pseudoaneurysm caused by drug injection. Methods From May 2000 to May 2005, 15 cases of femoral pseudoaneurysm caused by drug injection underwent operation treatment. All patients were male, aging 20-36 years. The disease course was 18-52 days(mean 35 days) and the course of druginjection was 3-17 months. The locations were the left side in 5 cases and theright side in 10 cases. After having been bandaged with pressure and supportedwith nutrition, they had been all operated. One case received fistula repair, and 14 cases received vascular grafting with ePTFE man-made blood vessel. Results The wounds healed by the first intention in 14 cases. All limbs survived. The complexion, temperature and response of involved leg were in gear. The postoperative color ultrasound Doppler detection showed that all the vascular grafts were of patency. The function of the involved limbs restored to normal. Conclusion Complete debridement, vascular reconstruction and better microsurgery skill were the key factors of treating successfullythe femoral pseudoaneurysm caused by drug injection.
目的 总结术后早期炎性肠梗阻和慢性假性肠梗阻的临床特点及处理方法。 方法 回顾性分析我科2004年3月至2009年3月期间的15例术后早期炎性肠梗阻及9例慢性假性肠梗阻的临床特点及治疗结果。 结果 15例术后早期炎性肠梗阻中保守治疗13例，平均11 d症状缓解出院； 再次手术2例，分别于术后11 d和8 d治愈出院。9例慢性假性肠梗阻中保守治疗6例，平均20 d症状缓解出院； 手术治疗3例，术后继续保守治疗，平均30 d症状缓解出院。 结论 术后早期炎性肠梗阻及慢性假性肠梗阻虽然各有其临床表现特点，但治疗上有共性，多数病例采用保守疗法便可治愈。
ObjectiveTo discuss the indication, therapeutic effect, complication of endoscopic surgery for pancreatic pseudocyst and its defect and merit.MethodsThe pertinent literatures about pancreatic pseudocyst treated by endoscopic technique were summarized. ResultsEndoscopic technique possessed the peculiarities of less trauma, convenience to operate and could be repeatedly used. The number of patients with pancreatic pseudocyst suitable for endoscopic therapy was increasing. When pancreatic pseudocyst was accompanied with complication, polycystic or failed in endoscopic treatment, surgical intervention was the only choice. Endoscopic technique would be considered firstly in other conditions.ConclusionIndividual scheme should be advocated according to the size, number location and complication of the pancreatic pseudocyst.
Objective To evaluate surgical treatment of infected pseudoaneurysm (PA) caused by injection of addictive drugs. Methods The clinical data of 17cases of infected PA caused by drug injection were reviewed retrospectively. Ofthem, 1 case was female, and the other 16 cases were male, aging 24-38 years. The locations were brachial artery in 1 case and femoral artery in 16 cases. Fourteen cases were treated by artificial blood vessel transplantation after resection of the aneurysm and radical debridement, 1 case by amputation for serious infection, and 2 cases by non-operation for different reasons. Results Among 14 cases treated by prosthetic grafts, 13 cases achieved satisfactory results, no blood drawback of lower extremity occurred after operation; 1 case had to be amputated for serious infection. After 3 months of operation, the color Doppler examination showed that the 9 artificial vessel grafts were patent and the pulse of arteria dorsal pedis was good. Conclusion Though artificial vessel grafting has high risk in the vicinity of infected PA, it is still an effective procedure for revascularization in condition that there is no suitable autogenous conduit available for auto transplantation. Sufficient drainage, anti-infection and anti-coagulation therapy should be the key factors after the operation.
A 55-year-old male patient was admitted to the hospital due to "recurrent chest pain for 8 months, with worsening symptoms for 2 weeks". After admission, comprehensive relevant examinations led to the consideration of a giant chronic left ventricular pseudoaneurysm caused by myocardial infarction with non-obstructive coronary arteries. Surgical treatment was performed at our hospital. We discuss the diagnosis and treatment of this patient.