摘要
目的探讨介入血管栓塞术在创伤或自发性大出血伴失血性休克急救中的应用。方法 27例患者为外伤或内科保守无法止血的自发性大出血伴失血性休克,到医院时血压大多低于正常且持续性下降。在积极抗休克的同时急诊行"选择性动脉造影及破裂血管栓塞术"治疗。结果27例病人均可见不同部位动脉破裂出血,均成功进行选择或超选择性(损伤)血管栓塞术。经继续扩容后所有病人血压回升,全部救治存活。所有病例均未出现严重的并发症。结论急诊介入血管栓塞术是救治复合外伤脏器破裂合并大出血、内科保守治疗无效的出血性疾病伴失血性休克的快速、安全、有效的方法。
Objective To explore the application value of emergency intervention embolization for patients with hemorrhagic shock resulted from traumatic or spontaneous massive bleeding. Methods Total of 27 patients who had traumatic or spontaneous hemorrhage leading to hemorrhagic shock after failure in medicine stypsis were treated by selective angiography firstly and then rupture arterial embolization, in the meantime patients were received antishock therapy when the blood pressure were lower than normal lever and continued reduction. Results In 27 cases different locations of rupture arterial bleeding were all determined by selective （superselective） angiography and the arterial embolization were all performed successfully for no bleeding again. After the embolization and expansion treatment 27 patients had increased blood pressure, and all survived without severe complications. Conclusion Emergency intervention embolizadon is a rapid, safe and effective method in the treatment of hemorrhage induced by organs rupture or/and compound injury, hemorrhagic shock induced by hemorrhagic disease failure in medicine stypsis.
出处
《当代医学》
2012年第6期28-30,共3页
Contemporary Medicine
