摘要
为探讨介入疗法在急症患者救治中的疗效 ,对 4 2例患者 ,包括大咯血 6例 ,肾外伤破裂 2例 ,颈动脉海绵窦瘘 10例 ,股动脉及胫动脉血栓 2例 ,颈部外伤性动静脉瘘 1例及消化道大出血 2 1例。分别采用栓塞术、溶栓术及分流术治疗。结果发现栓塞后咯血停止 ,肾破裂者出血停止 ,颈动脉海绵窦瘘及肾破裂者出血停止 ,颈动脉海绵窦瘘及动静脉瘘者瘘口分流消失。溶栓后股动脉及胫动脉血栓消失。分流术后门脉压力下降 ,由3 7～ 4 1kPa降至 2 4～ 2 7kPa ,消化道出血停止。说明介入疗法用于急症救治迅速有效 ,疗效可靠 ,值得推广。
The efficacy of interventional therapy in emergency cases was studied in forty-two patients,including 6 cases of hemoptysis,2 cases of injured kidney rupture,10 cases of carotid-cavernous sinus fistula(CCF),2 cases of thrombo sis in femoral artery or tibial artery,one of injured carotid arterial-venous fistula,21 cases of bleeding from upper digestive tract.All patients were treated with embolization,thrombolysis or transjugular intrahepatic portal-systemic stent shunt (TIPSS).The results showed that after these treatment,the hemoptysis ceased and hematuria from injured kidney disappeared.The fistulous shunt of CCF or carotid arterial-venous fistula disappeared.Thrombi in femoral or tibial arteries were also dissolved.The portal pressure dropped from 3.7～41kPa to 2.4～2.7 kPa following TIPSS.Bleeding from upper digestive tract stopped.The findings indicate that the interventional treatment is a rapid,effective and reliable method for management of emergency cases,and it could be popularized widely in clinical application.
出处
《中国医师杂志》
CAS
2000年第6期339-341,344,共4页
Journal of Chinese Physician
关键词
急症
急救
介入疗法
Emergency
Emergency treatment
Interventional therapy
