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中华普外科手术学杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 591 -592. doi: 10.3877/cma.j.issn.1674-3946.2025.05.029

所属专题: 经典病例

临床经验

经上消化道致下腔静脉内金属异物1例
张欣1, 杜柏林1, 陈雨莲1, 刘鹏2,(), 宋民芳3   
  1. 1272000 山东济宁,济宁医学院
    2272000 山东济宁,济宁医学院附属医院血管外科
    3272000 山东济宁,济宁医学院附属医院神经内科
  • 收稿日期:2025-04-11 出版日期:2025-10-26
  • 通信作者: 刘鹏

A case report of metallic foreign body in inferior vena cava caused by upper gastrointestinal tract

Xin Zhang1, Bolin Du1, Yulian Chen1, Peng Liu2,(), Minfang Song3   

  1. 1Jining Medical University, Jining Shandong Province 272000, China
    2Department of Vascular Surgery, Affiliated Hospital of Jining Medical University, Jining Shandong Province 272000, China
    3Department of Neurology, Affiliated Hospital of Jining Medical University, Jining Shandong Province 272000, China
  • Received:2025-04-11 Published:2025-10-26
  • Corresponding author: Peng Liu
  • Supported by:
    Shandong Provincial Natural Science Foundation(ZR2019QH008); Key Research and Development Plan of Jining City(2022YXNS083); Jining Medical University Affiliated Hospital Doctoral Research Fund(2021-BS-018); 2022 High-level Research Project Cultivation Plan(JYGC2022FKJ003); Key Research and Development Plan of Jining City (Soft Science Project)(2023JNZC123)
引用本文:

张欣, 杜柏林, 陈雨莲, 刘鹏, 宋民芳. 经上消化道致下腔静脉内金属异物1例[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(05): 591-592.

Xin Zhang, Bolin Du, Yulian Chen, Peng Liu, Minfang Song. A case report of metallic foreign body in inferior vena cava caused by upper gastrointestinal tract[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(05): 591-592.

静脉内的金属异物大多由医源性因素所引起[1],因外伤性因素致血管内异物多由于机械性损伤、爆炸伤害和高空坠落等原因,致使异物飞溅、脱落或刺入血管相对少见;经消化道来源较为罕见。异物留存于血管内可能会对人体造成管腔狭窄、栓塞、破裂、感染、异物移位或脏器损伤等实质性伤害,及时干预(取出异物)是至关重要的,本文就非医源性导致的下腔静脉异物取出并结合国内外相关文献报道进行分析总结,以提高临床医生对该疾病的认识,进而保障患者诊疗安全,现报道如下。

图1 患者术前CTV影像资料图注:A、B、C为下腔静脉腔内(肾静脉水平)见一长约2.2cm条形致密影,余下腔静脉及属支走行自然,管腔通畅,未见明显低密度充盈缺损影
图2 患者术中介入治疗影像图注:A为股静脉穿刺造影见下腔静脉内高密度条状异物(箭头所示),呈漂浮状;B为用圈套器、输尿管异物钳互相配合导丝,分别套入抓捕异物;C为异物取出体内后见2.5cm质硬金属条
图3 患者术后复查影像学图像注:A、B为复查上消化道X线、CT未见明显异常
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