大面积脾动脉栓塞术并发症预防及处理措施  

Measures for prevention and treatment of complications after massive splenic artery embolization

作　　者：裴敏[1] 王琨[1] 朱杰[1] 蔡维波[1] 李松[1] 

机构地区：[1]江苏省泗洪县人民医院医学影像科,江苏泗洪223900

出　　处：《临床和实验医学杂志》2011年第2期115-116,120,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨大面积脾动脉栓塞术并发症的预防及处理措施。方法回顾分析2007年1月至2009年12月间对脾脏一次性栓塞面积大于75%的32例患者的并发症的预防、发生及处理措施。结果 32例患者,均发生不同程度的栓塞后综合征。其中剧烈腹痛5例,左侧少量胸水1例,脾静脉、门静脉血栓3例,脾及脾周脓肿1例,乳糜性腹水1例,异位栓塞1例,顽固性呃逆3例。未发生脾脏破裂、胰腺炎等并发症。结论掌握大面积脾动脉栓塞后可能发生的并发症的预防及处理措施,可减少并发症的发生,并尽早采取积极有效治疗方法,减轻患者痛苦,促进患者早日康复。Objective To evaluate the measures for prevention and treatment of complications after massive splenic artery embolization.Methods The clinical data of measures for prevention and treatment of complications in 32 patients by a single splenic embolization with area more than 75% during January 2007 to December 2009 were retrospectively reviewed ad analyzed.Results All 32 patients showed various degree of embolism syndrome.Among them,there were 5 patients（15%） with severe abdominal pain,one patient（3%） with small amount of left pleural effusion,3 patients（9%） with thrombosis in splenic vein and portal vein,one patient（3%） with splenic and perisplenic abscess,one patient（3%） with chylous ascites,one patient（3%） with ectopic embolism and 3 patients（9%）with intractable hiccup.There were no complications as splenic rupture and pancreatitis.Conclusion It is important to grasp the measures for prevention and treatment of contingent complications in patients after massive splenic artery embolization,and it may reduce the occurrence of complications,and active and effective treatment should immediately be taken as soon as possible,thus it can relieve suffering and promote early recovery of these patients.

关 键 词：脾脏 大面积栓塞 并发症 

分 类 号：R551.1[医药卫生—血液循环系统疾病]