颈外动脉栓塞治疗危及生命的颌面部创伤性出血  

External carotid embolization for the treatment of life-threatening maxillofacial traumatic bleeding

作　　者：李志刚[1] 王宵[1] 曲文[2] 李选[2] 

机构地区：[1]北京大学第三医院口腔科,100000 [2]北京大学第三医院放射科,100000

出　　处：《实用口腔医学杂志》2004年第5期539-542,共4页Journal of Practical Stomatology

摘　　要：目的 :阐述介入性治疗在颌面及颈部外伤危及生命的大出血的抢救治疗中的应用。方法 :对严重的颌面部和颈部的外伤伴有危及生命的大出血的 3病例采用颈外动脉造影和和颈外动脉分支的栓塞治疗。结果 :颈外动脉造影和和栓塞可以有效的止住颌面部和颈部的外伤伴有危及生命的大出血 ,并且术前的血管造影可以明确诊断 ,指导手术。结论 :在颌面部和颈部的外伤有危及生命的大出血 ,常规的止血手段无效的情况下 ,及时采用介入性颈外动脉栓塞术是十分有效的方法。Objective: To expatiate the application of int er ventional treatment in emergency management of life-threatening bleeding follow ing maxillofacial and jugular trauma. Method : Three cases of ma xillofacial and jugular serious injury with life threatening bleeding were treat ed by external carotid arteriography and embolization at branch of external car otid artery. Result:External carotid arteriography and emboliza tion could effectively stop life-threatening bleeding of maxillofacial and jugu lar serious injury. Preoperation arteriography could define diagnosis and direc t the treatment. 2 cases survived after treatment and 1 died of blood lose durin g treatment. Conclusion:External carotid arteriography and embo lization is effective in the treatment of maxillofacial and jugular serious inj ury with life-threatening bleeding.

关 键 词：颌 面部 创伤与损伤 颈外动脉 治疗性栓塞 

分 类 号：R782.4[医药卫生—口腔医学]