■按摩是一种医疗保健,但是不正确的技术可能会伤害人体(Qin等人,,2023年[1])。虽然目前还没有报告的病例的侧胸动脉假性动脉瘤和破裂引起的腋窝按摩,重要的是进一步探索如何应对和预防这种潜在风险。
方法:本案例研究强调了一例罕见的病例,一名61岁的女性患者经历了胸外侧动脉假性动脉瘤,并因腋窝按摩而破裂。病人,自学中医和按摩,定期摩擦腋下的吉拳穴,以促进心脏健康,每节持续30-60分钟,为期两年。她出现头晕等症状,心悸,左腋下疼痛,水肿,导致她被送往附近的医院。尽管接受了输血,她的症状没有改善,需要她去我们医院。她的上肢动脉的CT血管造影扫描显示存在左胸外侧动脉假性动脉瘤和破裂,导致左腋下皮下血肿,胸部,和回来。血管造影后,成功进行了栓塞。手术三个月后,患者恢复了完全的活动能力,并且左上肢没有疼痛。
■腋下区域含有高浓度的神经和血管,这使得对其解剖结构的透彻了解和使用精确的按摩技术至关重要。腋窝动脉损伤会导致严重的并发症,可以通过开放或血管内介入程序来解决。本文回顾了管理这些特定场景的现有文献和指南。
结论:进行腋窝按摩时应谨慎,彻底了解腋窝区的解剖结构至关重要。在腋窝按摩过程中,对胸外侧动脉的损伤是一个潜在的风险,在这种情况下,可以考虑血管内介入治疗.
UNASSIGNED: Massage is a form of health care, but incorrect techniques can potentially harm the human body (Qin et al., 2023 [1]). While there have been no reported cases of lateral thoracic artery
pseudoaneurysm and rupture induced by axillary massage, it is important to further explore how to address and prevent such potential risks.
METHODS: This
case study highlights a rare occurrence where a 61-year-old female patient experienced a lateral thoracic artery
pseudoaneurysm and ruptured as a result of an axillary massage. The patient, self-taught in Chinese medicine and massage, regularly rubbed the Jiquan points in her armpits to promote heart health, with each session lasting 30-60 min for two years. She presented with symptoms such as dizziness, palpitations, left armpit pain, and oedema, leading to her admission to a nearby hospital. Despite receiving blood transfusions, her symptoms did not improve, necessitating her to refer to our hospital. A CT angiography scan of her upper limb arteries revealed the presence of a left lateral thoracic artery
pseudoaneurysm and rupture, resulting in subcutaneous hematoma in the left axilla, chest, and back. Following angiography, successful embolisation was performed. Three months after surgery, the patient regained full mobility and was free from pain in her left upper limb.
UNASSIGNED: The armpit region contains a high concentration of nerves and blood vessels, making it crucial to have a thorough understanding of its anatomy and to use precise massage techniques. Damage to the axillary arteries can result in severe complications, which can be addressed through either open or endovascular interventional procedures. This article reviews existing literature and guides in managing these specific scenarios.
CONCLUSIONS: Caution should be exercised when performing an armpit massage, as a thorough understanding of the anatomy of the axillary area is crucial. Injury to the lateral thoracic artery is a potential risk during axillary massage, and in such cases, endovascular intervention may be considered.