创伤性肝破裂出血的介入治疗  

The interventional therapy of traumatic hepatic bleeding

作　　者：尹化斌[1] 谭建平 王玉峰[3] 张斌[3] 

机构地区：[1]复旦大学附属上海市第五人民医院,200240 [2]山东淄博市第四人民医院 [3]山东新泰市人民医院

出　　处：《上海医学影像》2008年第2期140-141,共2页Shanghai Medical Imaging

摘　　要：目的探讨经导管肝动脉栓塞技术在创伤性肝破裂出血治疗中的价值。方法15例创伤性肝破裂出血患者,经导管肝动脉插管造影并用明胶海绵或金属弹簧圈栓塞出血动脉分支。结果所有患者均成功栓塞出血动脉并完全止血,无严重并发症发生。结论经导管肝动脉栓塞术是治疗创伤性肝破裂出血的安全、有效的微创措施。为预防急性肾功能衰竭,术中应尽可能减少对比剂的用量。Objective To investigate the walue of transcatheter arterial embolization in the treatment of traumatic hepatic bleeding. Methods 15 cases with traumatic hepotic bleeding were underwent hepatic arterial angiography and the bleeding arterial branch were embolized with gelatin sponge or steel coil. Results The bleeding hepotic arterial branch were completely embolized and the blieeding were successfully controlled without severe complication in all cases. Conclusion transcatheter arterial embolization is a safe and mieroinvasive approach for traumatic hepatic hleeding. To prevent the acute renal failure, the dosage of contrast medium must be reduced as possible as can.

关 键 词：肝脏 创伤 动脉栓塞术 

分 类 号：R657.32[医药卫生—外科学] R735.7[医药卫生—临床医学]