论文部分内容阅读
患者男,50岁。因右肘部痛性肿块2年,逐渐增大并伴右手及前臂苍白、发凉2月而就诊。查体:右手及前臂温度明显低于左侧,以手部为重。肘窝内上方约5cm处可触及一蚕豆大小硬结,边界清,活动度好,有压痛,疼痛沿正中神经分布区放散。肘部肱动脉搏动及腕部桡尺动脉搏动均不能触及,腋窝下8cm处肱动脉搏动良好。硬结上方肱动脉呈条索样。常规化验无异常。诊断为正中神经瘤伴肱动脉栓塞。手术探查正中神经在肱动脉的桡尺动脉分叉水平上6cm处生长一蚕豆大小之肿块,压迫肱动脉,肿块上方肱动脉内血栓形成,桡尺动脉分叉以远未栓塞。行肱动脉切开取栓,见于硬结附近,栓子与血
Male patient, 50 years old. 2 years due to pain in the right elbow mass, and gradually with the right hand and forearm pale, cold and treatment in February. Physical examination: right hand and forearm temperature was significantly lower than the left hand to heavy. About 5cm above the elbow fossa can reach a size of cirrhosis, border clear, good activity, tenderness, pain along the median nerve area to disperse. Elbow brachial artery pulse and wrist ulnar artery pulse can not be touched, armpit 8cm at the brachial artery beat well. The brachial artery above the induration showed a cord-like sample. No abnormalities in routine tests. Diagnosis of median neuroma with brachial embolism. Surgical exploration of the median nerve at the bifurcation of the brachial artery at the radial ulnar artery 6cm at the growth of a broad bean-like mass, compression of the brachial artery, thrombus formation above the brachial artery, radial ulnar artery bifurcation is far from embolism. Line brachial artery incision and removal, found in the vicinity of induration, emboli and blood