目的：探讨介入血管腔内治疗对有创操作术后内脏出血急重症的治疗方法，评价其疗效及安全性。材料与方法：34例有创操作术后出血的患者，回顾对其行动脉造影及介入治疗。结果：34例患者共行35次造影及介入治疗，造影明确出血部位阳性结果为24例，阴性11例。其中1例行覆膜支架植入，20例以弹簧圈联合明胶海绵颗粒栓塞，6例单用明胶海绵颗粒栓塞。2例患者住院期间再出血死亡，1例出血减少但死于重症感染，6例造影阴性但实施栓塞的患者，出血减少但均出现不同程度感染及肝肾功能异常，对症治疗后改善。结论：介入血管腔内治疗对术后出血急重症是一种安全、有效的治疗方法。
Abstract
Objective: To discuss the interventional endovascular treatments in the emergency and severe disease caused by visceral hemorrhage after invasive manipulation, and evaluate the effect and safety. Methods: Reviewed the arteriographies and interventional treatments of 34 cases about visceral hemorrhage after invasive manipulation. Results: There were 35 times arteriographies and interventional treatments in 34 cases, 24 cases of them were found out the bleeding position, or positive results, otherwise 11 cases were negative. Among them there was 1 case using covered stents, 20 cases using coils combined with gelatin sponge particles, 6 cases using gelatin sponge particles only. While 2 cases died from re-bleeding during hospitalization, 1 case died from severe infection although bleeding was reduced, 6 cases were radiography-negative and still performed embolization, despite the bleeding was reduced but different degree of infection and liver or kidney dysfunction were arised, while it received symptomatic improvement after treatments. Conclusion: Interventional endovascular treatments in the emergency and severe disease caused by postoperative visceral hemorrhage should be safe and effective.
关键词
内脏 /
手术后出血 /
栓塞 /
治疗性
Key words
Viscera /
Postoperative hemorrhage /
Embolization, therapeutic
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