摘要
目的探讨经导管选择性靶动脉栓塞治疗复杂创伤性动脉出血的临床价值。方法 38例创伤性动脉出血患者,在伤后1～32天,平均(6.2±2.4)h行血管造影及选择性靶动脉栓塞,根据出血部位和造影结果,选用明胶海绵颗粒或/和条、不锈钢圈栓塞相应的靶动脉。结果所有患者在0.5～2.0h内完成栓塞治疗,栓塞成功率100%,栓塞后活动性出血停止,失血性休克得到纠正,有效率达100%,其中35例经康复治疗后出院,2例因发生弥散性血管内凝血(DIC),1例因合并颅脑损伤而死亡。无严重的栓塞后并发症出现。结论经导管选择性靶动脉栓塞治疗复杂创伤性动脉出血是一种安全有效、简便的方法,该方法为复杂创伤性动脉出血提供了一种新的救治方式。
Objective To explore the clinic value of selective transcatheter target artery embolization in complex traumatic arterial hemorrhage. Methods 38 patients, who were confirmed with traumatic arterial hemorrhage, were operated by angiography and selective transcatheter target artery embolization 1-32 days （average 6.2± 2.4 hours） after embolization with gelfoam particles or strips, and stainless steel coils according to bleeding part and angiographic findings. Results All parents were operated by selective transcatheter target artery embolization successfully within half to two hours, the success rate of embolization was 100%. Active hemorrhage stopped, hemorrhagic shock was corrected, effective rate was 100%, 35 cases came out of hospital after rehabilitation, 2 cases died from DIC, 1 case died from craniocerebral injury. There was no serious embolic complication. Conclusion Selective transcatheter target artery embolization is a safe and effective technique to treat complex traumatic arterial hemorrhage, which provides a new way to treat complex traumatic ar- terial hemorrhage.
出处
《医学影像学杂志》
2013年第3期454-456,共3页
Journal of Medical Imaging
