综合手术救治方舱内应用栓塞剂救治血管损伤的体会  

The comparison of remedy vascular injury with different emboliaztion agents in the comprehensive surgical treatment shelter

作　　者：李世倍[1] 梁明[2] 姚天明[1] 王祖禄[1] 梁延春[1] 王耿[1] 韩雅玲[1] 

机构地区：[1]沈阳军区总医院心血管内科,沈阳辽宁110016 [2]大连医科大学第二附属医院心内科,辽宁大连116023

出　　处：《东南国防医药》2012年第5期390-392,共3页Military Medical Journal of Southeast China

基　　金：全军"十一五"重大专项课题(08Z0001);辽宁省科技攻关课题(2011225006)

摘　　要：目的探讨综合手术救治方舱内应用不同栓塞剂开展院前急救不同类型血管损伤的有效性和可行性。方法在综合手术救治方舱内制造不同类型血管损伤动物模型,应用不同栓塞剂,包括明胶海绵、海藻酸钠-壳聚糖微球、弹簧圈,进行介入救治手术实验,记录手术时间、手术效果、影像清晰度及设备可操控性,探讨其救治效果。结果共对10只实验动物分别应用明胶海绵、海藻酸钠-壳聚糖微球、电解可脱性弹簧圈实施损伤血管介入栓塞手术,成功10例,成功率100%,死亡0例。手术过程中数字化减影(DSA)成像性能及设备可操作性良好,可有效保障介入诊治顺利进行。结论灾难现场或战场一线在综合手术救治方舱内恰当选择不同栓塞剂介入救治不同类型血管损伤有效可行。Objective To evaluate effectiveness and feasibility of embolic agent used to treat different types of vascular injury in the comprehensive surgical treatment shelter in disaster site or battlefield first-line. Methods Producing different types of vascular injury animal models in the comprehensive surgical treatment shelter,using different types of embolic agent such as gelatin sponge, sodium alginate-chitosan microspheres coil, and evaluating time of surgery, results of operations, image clarity and equipment manipulated, exploring the treat- ment effect. Results 10 successful operation were performed,the success rate of 100% ,0 cases of death. DSA imaging performance and equipment operability,interventional diagnosis and treatment can effectively for perform- ing the operation. Conclusion It was effectiveness for using suitable embolic agent in the treatment of different types of vascular injury in the comprehensive surgical treatment shelter in disaster site or battlefield first-line.

关 键 词：综合手术救治方舱 介入治疗 动脉损伤 栓塞剂 

分 类 号：R814.47[医药卫生—影像医学与核医学]