脑梗死介入术后继发感染性股动脉假性动脉瘤1例
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Secondary infective femoral artery pseudoaneurysm after intervention surgery for cerebral infarction: a case report
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    摘要:

    本文报告1例脑梗死介入术后继发感染性股动脉假性动脉瘤,经抗感染、手术治疗好转出院的诊治过程。患者女性,52岁,因基底节动脉狭窄行经皮基底动脉球囊扩张成形术,术后继发耐甲氧西林金黄色葡萄球菌(MRSA)血流感染及感染性股动脉假性动脉瘤,经万古霉素、利奈唑胺抗感染治疗,股动脉假性动脉瘤切除及自体血管置换术,术后患者好转出院,复查CT血管造影示人工血管通畅。通过本病例报告,以期为临床工作中对该类患者的诊断及治疗提供经验。

    Abstract:

    This article reports thediagnosis and treatment process of a case with secondary infective femoral artery pseudoaneurysm after intervention surgery for cerebral infarction, who improved after anti-infection and surgical treatment and was discharged. The patient was a 52-year-old female who underwent percutaneous balloon dilatation of basilar artery due to basilar artery stenosis. After surgery, she developed secondary methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infection and infective femoral artery pseudoaneurysm. After treatment with vancomycin and linezolid, femoral artery pseudoaneurysm resection, and autovascular replacement, the patient recovered well after the surgery and discharged from hospital. CT angiography (CTA) re-examination showed artificial blood vessel patency. This study is expected to provide experience for the diagnosis and treatment of such patients in clinical work.

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吴晓平,孙晓伟,李建涛.脑梗死介入术后继发感染性股动脉假性动脉瘤1例[J]. 中国感染控制杂志,2025,24(5):701-704. DOI:10.12138/j. issn.1671-9638.20256869.
WU Xiaoping, SUN Xiaowei, LI Jiantao. Secondary infective femoral artery pseudoaneurysm after intervention surgery for cerebral infarction: a case report[J]. Chin J Infect Control, 2025,24(5):701-704. DOI:10.12138/j. issn.1671-9638.20256869.

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  • 收稿日期:2024-08-14
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  • 在线发布日期: 2025-05-23
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