| 重症急性胰腺炎并发假性动脉瘤出血的介入放射治疗 |
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| 引用本文： | 王亚军,孙家邦,李非,李昂,方育,陈宏.重症急性胰腺炎并发假性动脉瘤出血的介入放射治疗[J].中国现代普通外科进展,2008,11(5). |
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| 作者姓名： | 王亚军 孙家邦 李非 李昂 方育 陈宏 |
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| 作者单位： | 首都医科大学宣武医院普外科,北京,100053 |
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| 摘 要： | 目的：探讨重症急性胰腺炎（severe acute pancreatitis,SAP）并发假性动脉瘤出血的介入治疗。方法：回顾分析SAP合并假性动脉瘤出血进行介入治疗的病例10例。结果：10例患者均行有血管造影,7例CT检查。CT诊断假性动脉瘤出血5例,血管造影均正确诊断。受累血管主要为胰周血管。8例“一点法”（出血血管近端）栓塞后获得止血,2例“两点法”（动脉瘤出血血管的近端和远端）血管栓塞成功。“一点法”栓塞止血患者中有4例4-7天后再出血,2例急诊手术止血,2例改用行“两点法”成功栓塞。3例患者死于感染和多器官功能不全综合症（multiple organ dysfunction syndromes,补充英文全称,MODS）,总体死亡率30%。结论：血管造影是SAP并发假性动脉瘤出血的主要诊断方法,首选血管栓塞治疗,“两点法”血管栓塞止血和急诊手术是有效的治疗手段。
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| 关 键 词： | 胰腺炎 假性动脉瘤 出血 动脉栓塞 手术 |
Interventional radiologic management of bleeding pseudoaneurysms in patients with severe acute pancreatitis |
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| WANG Ya-jun,SUN Jia-bang,LI Fei,LI Ang,FANG Yu,CHEN Hong.Interventional radiologic management of bleeding pseudoaneurysms in patients with severe acute pancreatitis[J].Chinese Journal of Current Advances in General Surgery,2008,11(5). |
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| Authors: | WANG Ya-jun SUN Jia-bang LI Fei LI Ang FANG Yu CHEN Hong |
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| Institution: | WANG Ya-jun,SUN Jia-bang,LI Fei,LI Ang,FANG Yu,CHEN Hong Department of General Surgery,Xuanwu Hospital,Capital University of Medical Sciences(Beijing 100053,China) |
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| Abstract: | Objective:To study the interventional radiologic management of bleeding pseudoa-neurysms associated with SAP.Methods:Ten patients with bleeding pseudoaneurysms associated with SAP undergoing interventional radiologic therapy were analyzed retrospectively.Results:Diagnoses of bleeding pseudoaneurysms were based on angiography(10/10)and CT(7/10).Abdominal CT revealed bleeding pseudoaneurysms in 5 of 7 patients(71%).Angiography determined correct diagnosis in 10 patients(10/10,100%).The most involved vessels a... |
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