经动脉介入栓塞治疗颅面部创伤性大出血  

Transcatheter arterial embolization for the management of traumatic massive hemorrhage in the craniofacial regions

作　　者：张健[1] 李晓群[1] 张高尚[1] 

机构地区：[1]中山市人民医院放射影像中心介入治疗室,广东中山528403

出　　处：《中国介入影像与治疗学》2010年第6期617-619,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经动脉介入栓塞治疗颅面部创伤致急性、难治性大出血的临床疗效及价值。方法 32例颅面部创伤患者中,颅底骨折致口、鼻、耳道大出血28例,面颅骨骨折致口、鼻大出血4例,所有患者经动脉造影确定出血靶血管及范围后接受经动脉介入栓塞治疗,并评价其疗效。结果 32例均成功止血,未出现严重并发症。结论经动脉介入栓塞治疗颅面部创伤致急性大出血,创伤小、止血迅速、安全有效,可成为临床首选治疗方法。Objective To assess the efficiency and clinical value of transcatheter arterial embolization in the management of acute or refractory traumatic massive hemorrhage in the craniofacial region.Methods Of the thirty-two patients with trauma,twenty-eight patients had hemorrhage of bouche,nose and ear caused by basicraniel fracture,the other 4 had hemorrhage of bouche and nose by craniofacial fracture.Hemorrhagic vessel and areaes were confirmed with arteriography,and transcatheter arterial embolization was prepformed,the efficiency was evaluated.Results All 32 patients stopped bleeding after transcatheter arterial embolization,no severe complication appeared.Conclusion Transcatheter arterial embolization of acute or refractory traumatic hemorrhage in craniofacial region is effective and safe,and should be regarded as the first choice of treatment.

关 键 词：损伤和创伤 出血 栓塞 治疗性 

分 类 号：R651.1[医药卫生—外科学]