| Experience in Diagnosis and Treatment of Bleeding Complications in Severe Acute Pancreatitis by TAE |
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| 作者姓名： | 周峰 王春友 熊炯炘 万赤丹 郑传胜 |
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| 作者单位： | PancreasSurgeryCenter,UnionHospital,TongjiMedicalCollegeofHuazhongUniversityofScienceandTechnology,Wuhan430022,China |
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| 摘 要： | The experience in diagnosis and treatment of bleeding complications in severe acute panereatitis (SAP) by transeatheter arterial embolization was summarized. The elinieal data of 19 SAP patients eomplicated with intra-abdominal bleeding in our hospital from Jan. 2000 to Jan. 2003 were analyzed retrospeetively and the therapeutie outeome of TAE was evaluated statistically. The resuits showed that the short-term sueeessful rate of hemostasis by TAE was 89. 5% (17/19), the incidence of re-bleeding after TAE was 36.8% (7/19 ) and the successful rate of hemostatis by second TAE was 71.4 % (5/7). It was eoneluded that the intra-abdominal bleeding in SAP was mainly eaused by the rupture of erosive/infeeted pseudoaneurysm. Mostly, the broken vessels were splenic artery and gastroduodenal artery. In terms of ernergenee hemostatis, TAE is the most effeetive method. Surgieal hemostasis is neeessary if hemostasis by TAE is failed or re-bleeding oeeurs after TAE.
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| 关 键 词： | 急性胰腺炎 TAE 出血 并发症 诊断方法 治疗方法 |
| 收稿时间： | 9 June 2004 |
Experience in diagnosis and treatment of bleeding complications in severe acute pancreatitis by TAE |
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| Zhou Feng,Wang Chunyou,Xiong Jiongxin,Wan Chidan,Zheng Chuansheng.Experience in Diagnosis and Treatment of Bleeding Complications in Severe Acute Pancreatitis by TAE[J].Journal of Zuazhong University of Science and Technology: Medical Edition,2005,25(2):182-184. |
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| Authors: | Zhou Feng Wang Chunyou Xiong Jiongxin Wan Chidan Zheng Chuansheng |
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| Institution: | Pancreas Surgery Center, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China |
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| Abstract: | Summary: The experience in diagnosis and treatment of bleeding complications in severe acute pancreatitis (SAP) by transcatheter arterial embolization was summarized. The clinical data of 19 SAP patients complicated with intra-abdominal bleeding in our hospital from Jan. 2000 to Jan. 2003 were analyzed retrospectively and the therapeutic outcome of TAE was evaluated statistically. The results showed that the short-term successful rate of hemostasis by TAE was 89.5 % (17/19), the incidence of re-bleeding after TAE was 36.8 % (7/19) and the successful rate of hemostatis by second TAE was 71.4 % (5/7). It was concluded that the intra-abdominal bleeding in SAP was mainly caused by the rupture of erosive/infected pseudoaneurysm. Mostly, the broken vessels were splenic artery and gastroduodenal artery. In terms of emergence hemostatis, TAE is the most effective method. Surgical hemostasis is necessary if hemostasis by TAE is failed or re-bleeding occurs after TAE. |
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| Keywords: | severe acute pancreatitis intra-abdominal bleeding erosive/infected pseudoaneurysm transcatheter arterial embolization |
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