急诊动脉栓塞对创伤性泌尿系统出血的疗效分析  

Clinical Analysis of Emergent Arterial Embolization on Traumatic Urinary Tract Hemorrhage

作　　者：黄明坦[1] 叶泽兵[1] 梁国挺[1] 覃海森[1] 李晓峰[1] 

机构地区：[1]广东省第二人民医院急诊外科,广东广州521037

出　　处：《河北医学》2012年第5期602-604,共3页Hebei Medicine

摘　　要：目的:探讨急诊行动脉栓塞对泌尿系大出血的治疗的效果和价值。方法:回顾性分析泌尿系大出血患者45例,其中外伤性肾出血26例、经皮肾镜术后出血11例、膀胱癌大出血8例。结果:45例患者中非医源性肾损伤26例,21例栓塞后第1d出血停止,肉眼血尿消失,3例术后第3-5d肉眼血尿逐渐消失。11例经皮肾镜术后出血患者中,7例为穿刺误伤小动脉出血,3例穿刺误伤小动脉并伴动脉瘤及动静脉瘘形成。8例膀胱肿瘤大出血患者栓塞后均在清除血块后尿呈洗肉水样并逐渐转清亮。结论:泌尿系急性大出血采用急诊超选择性动脉栓塞术,是一种积极、有效、快速、安全的止血措施,疗效显著,且能最大限度保留肾脏功能。Objective： To investigate the emergency arterial embolization for the treatment of urinary tract bleeding. Method：We reviewed the data of 45 cases of urinary tract bleeding,including traumatic renal hemorrhage 26 cases,percutaneous nephrolithotomy bleeding 11 cases,bladder cancer bleeding 8 cases. Result：45 patients,non-iatrogenic renal injury in 26 cases,21 patients with embolization to stop bleeding after 1 day,gross hematuria disappeared in 3 cases after the first 3-5 days gross hematuria gradually disappeared.11 cases of percutaneous nephrolithotomy with postoperative bleeding.7 cases of accidental injury of a small artery puncture bleeding,3 cases of arterial puncture and accidental injury with a small aneurysm.8 cases of bladder cancer patients after embolization were bleeding in the urine after blood clots were washed clean water and gradually turn the clear. Conclusion：For the cases with acute urinary tract bleeding using super-selective arterial embolization emergency department is a positive,effective,fast and safe measures to stop bleeding,and can maximize the retention of renal function.

关 键 词：创伤性出血 泌尿系出血 DSA 栓塞 

分 类 号：R691[医药卫生—泌尿科学]