腹部实质脏器损伤大出血的介入超选择栓塞治疗

目的探讨腹部实质脏器损伤大出血的介入超选择栓塞治疗方法和疗效。方法回顾性分析介入超选择栓塞治疗43例腹部实质脏器损伤大出血患者,均有明确外伤史,其中脾脏挫裂伤16例,肾脏挫裂伤19例,肝脏挫裂伤5例及脾肾合并伤3例,此外18例患者有创伤失血性休克。所有病例先行该脏器的动脉血管造影。结果 41例患者介入栓塞后出血立即停止,经输血扩容后血压和血红蛋白回升;另2例肾挫裂伤栓塞术后仍可见淡红色肉眼血尿,经静脉立止血治疗,2天后出血停止,血尿消失。23例半年后随访,肝肾功能实验室检查正常。结论对各种原因所致闭合性腹部实质脏器损伤大出血患者,行急诊动脉造影和超选择栓塞治疗,具有明确出血部位、止血迅速、疗效肯定及并发症少的优点,值得临床推广应用。

Interventional embolization for the treatment of abdominal parenchymal visceral injury hemorrhage

Objective To explore the method of interventional embolization for the treatment of abdominal parenchymal visceral injury bleeding and analyze the clinical effect.Methods Interventional embolization was performed in 43 cases of abdominal parenchymal visceral injury bleeding.Each cases had definite injury history.Among the cases,16 cases were spleen injury,19 cases were renal injury,5 cases were hepatic injury,3 cases were injury combined spleen and kidney.18 cases had traumatic hemorrhagic shock.Results 41 ...