Wednesday, May 23, 2007

专家提醒心血管病患者需警惕动脉瘤 The expert reminds that the sufferer of cardiovascular disease needs to watch out for an aneurysm

59岁的尉先生突然严重腹痛,检查发现腹内长了髂动脉瘤,并在两天内增长到拳头大小,随时有“爆炸”的可能。昨日,患者在武汉中心医院接受手术切除后,顺利出院。专家提醒,有高血压、动脉硬化史的人要时刻关注动脉瘤的发生。

  半月前,尉先生突然出现右下腹疼痛,他以为是阑尾炎,抗炎治疗就可以了。但医生检查后发现,尉先生右下腹部髂动脉有一个搏动性包块,约有鸡蛋大小,而正常的髂动脉仅有小拇指粗细。接下来两天不到的时间里,该动脉瘤迅速增至拳头大小,就像一颗已进入倒计时的“定时炸弹”,随时有破裂大出血的可能。武汉市中心医院血管外科为其进行了手术。

  该院血管外科副主任医师何涛介绍,髂动脉瘤破裂在临床上是一种非常凶险的病症,起病急,病情发展迅速,死亡率极高。专家提醒,髂动脉瘤的常见病因为动脉粥样硬化,感染、外伤也可以引起。有长期高血压、心脑血管动脉硬化病史的患者,应定期进行外周血管的检查,及早发现下肢动脉硬化及动脉瘤的发生。

The expert reminds that the sufferer of cardiovascular disease needs to watch out for an aneurysm

59-year-old suddenly serious stomachache of Wei Sir, the check discovered longus inside the pneumoperitoneum an ilia aneurysm, and increase a fist size within two days, have the possibility of "explosion" at any time.Yesterday, sufferer after Wuhan center hospital had an operation to cut off, smooth hospital discharge.The expert remind that have the person of hypertension, arteriosclerosis history the time pays attention to the occurrence of aneurysm.

The Wei Sir bursts upon a right abdomen pain before the semilunar, , he thinks to be an appendicitis, the anti- ingluvitis treat all right.But the doctor discover after check, Wei Sir's right abdomen department ilia iliac artery has a pulsation to wrap a piece, there is egg size around, but the normal ilia iliac artery only have thin thick little finger.Connect down the inside of time that two days don't go to, that aneurysm quickly increases to the fist size, be like a "time bomb" which has already got in to pour to account and have at any time the rupture greatly bleeds of possibility.The afferent surgery of the city center hospital in Wuhan carried on surgical operation for it.

That afferent surgery vice- director's doctor He2 Tao in the hospital introduce, the ilia aneurysm rupture is a kind of very dangerous disease in the clinical top, vesication disease nasty, the condition evolves quickly and the death rate is very high.Expert reminds that the familiar cause of disease of ilia aneurysm is an asterosclerosis, the infection, external injury can also cause.The sufferer who there is the history of long-term cerebral arteriosclerosis disease of the hypertension, cardiac loop, should periodically carry on an outside turnover vascular check, early discover legs arteriosclerosis and the occurrence of the aneurysm.

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