关键词: Arteriovenous graft Dialysis Hemorrhage Pseudoaneurysm Rupture Vascular access

来  源:   DOI:10.1016/j.legalmed.2024.102480

Abstract:
We report an autopsy of a death due to a ruptured infected pseudoaneurysm; a man in his 70s was found dead with massive bleeding from the shunt of his right arm. Autopsy and pathological examination revealed that the cause of death was hemorrhagic shock due to rupture of an infected pseudoaneurysm. Ruptured aneurysms and pseudoaneurysm are a complication of dialysis, and death is rare because they are treated immediately on discovery. However, these ruptures often occur in non-medical facilities and could result in death if the patient does not have knowledge of first aid. Thus, patient education is important. Approximately only half of the deaths due to massive bleeding from a shunt are autopsied. In Japan, autopsies or partial autopsies are considered necessary to determine whether a bleeding was traumatic and to prevent medical errors from being overlooked.
摘要:
我们报告了因假性动脉瘤破裂而死亡的尸检;一名70多岁的男子被发现死于右臂分流术大量出血。尸检和病理检查显示,死亡原因是由于感染的假性动脉瘤破裂引起的失血性休克。破裂的动脉瘤和假性动脉瘤是透析的并发症,和死亡是罕见的,因为他们被发现立即治疗。然而,这些破裂通常发生在非医疗机构,如果患者不了解急救知识,则可能导致死亡。因此,患者教育很重要。大约只有一半的因分流术大量出血而死亡的人被尸检。在日本,尸检或部分尸检被认为是必要的,以确定出血是否是创伤性的,并防止医疗错误被忽视。
公众号