动脉栓塞在急症出血性疾病中的临床应用  

The clinical application of arterial embolism in acute hemorrhagic disease

作　　者：刘书林[1] 吴少平[1] 邱丽华[2] 谭廷爵 宋晓琴[1] 

机构地区：[1]成都医学院第一附属医院放射科,四川成都610500 [2]宜宾市第二人民医院放射科 [3]仪陇县人民医院

出　　处：《西部医学》2009年第1期117-118,共2页Medical Journal of West China

摘　　要：目的探讨急症动脉性出血选择性介入治疗的方法及临床价值。方法25例动脉出血性疾病，因保守治疗疗效不佳，采用明胶海绵或弹簧圈作栓塞材料行介入治疗。结果25例出血性疾病全部栓塞成功，经2—7d连续观察，出血明显减少或消失。随访3个月，其中1例支气管扩张复发出血，经再次栓塞后止血。1例肾动-静脉瘘经介入治疗后下肢深静脉血栓形成。结论选择性动脉造影及栓塞安全，疗程短，痛苦小，止血效果好，是诊断和治疗动脉出血性疾病的可靠方法。Objective To explore the effect of arterial embolism in acute hemorrhagic disease. Methods There were 25 cases of acute arterial hemorrhagic disease, including 16 cases malignant neoplasm and 9 cases benign diseases, involved in the present study, which were treated with arterial embolism. The embolic agents were gelatin sponge or coil, Results The bleeding of all the 25 patients was stopped in 2 to 7 days. 1 patient with bmnchiectasis relatpsed after 3 months. Conclusion Selective arteriography and embolism was a reliable and safe method to treat arterial hemorrhagic disease.

关 键 词：动脉出血 介入治疗 超选择 栓塞 

分 类 号：R554[医药卫生—血液循环系统疾病] R459.9[医药卫生—内科学]