| 肝动脉栓塞治疗外伤性肝破裂出血 |
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| 引用本文： | 赵永昌,陈士新,崔祥滨,李强,刘晓晨,王亚莉,豆发福,冷保山,胡骁,张玉云,衡建. 肝动脉栓塞治疗外伤性肝破裂出血[J]. 临床放射学杂志, 2011, 30(7) |
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| 作者姓名： | 赵永昌 陈士新 崔祥滨 李强 刘晓晨 王亚莉 豆发福 冷保山 胡骁 张玉云 衡建 |
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| 作者单位： | 1. 陕西省汉中3201医院介入放射科,723000
2. 陕西省汉中3201医院介入普外科,723000 |
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| 摘 要： | 目的探讨肝动脉栓塞术治疗外伤性肝破裂出血的临床疗效、关键技术及其并发症。资料与方法回顾性分析经B超及CT证实的外伤性肝破裂出血患者50例,采用超选择插管至病变血管,用明胶海绵和(或)弹簧圈栓塞,术后观察止血效果。结果 9例单纯用明胶海绵颗粒栓塞,41例用明胶海绵颗粒+钢圈联合栓塞。47例一次肝动脉栓塞后即成功止血;3例于首次栓塞后12～72 h复发出血,行第二次肝动脉栓塞后有2例完全止血康复,1例于第二次栓塞后2周并发肝脓肿和腹腔感染而死亡。49例随访3个月～3年无复发出血。结论肝动脉导管栓塞治疗外伤性肝破裂出血安全、有效。
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| 关 键 词： | 肝脏 外伤 肝动脉栓塞 |
Transcatheter Arterial Embolization for Treatment of Traumatic Hepatic Hemorrhage |
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| ZHAO Yongchang,CHEN Shixin,CUI Xiangbin,et al.. Transcatheter Arterial Embolization for Treatment of Traumatic Hepatic Hemorrhage[J]. Journal of Clinical Radiology, 2011, 30(7) |
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| Authors: | ZHAO Yongchang CHEN Shixin CUI Xiangbin et al. |
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| Affiliation: | ZHAO Yongchang,CHEN Shixin,CUI Xiangbin,et al. Department of Interventional Radiology,3201 Hospital of Hanzhong City,Hanzhong,Shaanxi Province 723000,P.R.China |
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| Abstract: | Objective To evaluate the clinical effectiveness,indications and complications of transcatheter arterial embolization in the treatment of the patients with traumatic hepatic hemorrhage.Materials and Methods Retrospective review was conducted on 50 patients with traumatic hepatic bleeding who were confirmed by B ultrasound and CT at our institution from August,2000 to August 2010.All patients underwent hepatic arterial angiography and followed by superselective transarterial embolization with gelfoam particl... |
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| Keywords: | Liver Trauma Hepatic arterial embolization |
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