急诊介入栓塞治疗肝癌破裂出血的临床疗效  

Clinical application of emergency treatment by transcatheter arterial embolization or chemoembolization for repture hemorrhage of primary hepatic carcinoma

作　　者：黄祥忠[1] 任冬青[1] 高峰[1] 沈炜[1] 包凯沪[1] 

机构地区：[1]东南大学医学院附属江阴医院介入科,江苏江阴214400

出　　处：《实用临床医药杂志》2013年第17期151-153,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨急诊肝动脉栓塞(TAE)或肝动脉化疗栓塞(TACE)治疗原发性肝癌破裂出血的临床应用价值。方法选取急诊行介入栓塞治疗的原发性肝癌破裂出血患者27例,其中18例行TAE,9例行TACE,有11例术前伴有低血容量性休克。27例患者术后均保留导管鞘24 h。结果原发性肝癌破裂出血急诊TAE或TACE止血率为92.6%(25/27),2例TAE治疗后仍有进行性出血,再次行TAE治疗,止血效果满意。术后综合治疗后平均生存期为15个月。结论急诊行TAE或TACE控制原发性肝癌破裂出血创伤小,安全可靠,疗效确切,值得临床推广。Objective To investigate clinical value of emergency treatment of transcatheter arterial embolization （TAE） or chemoembolization （TACE） for repture hemorrhage of primary hepatic carcinoma. Methods Twenty-seven patients including 11 with hypovolemic shock received interven- tional therapy for repture hemorrhage of primary hepatic carcinoma. TAE or TACE was performed suc- cessfully in all patients including 18 TAE and 9 TACE. Catheter sheath retained in all patients for 24 hours after the procedure. Results Hemostatic rate of TAE or TACE was 92.6% （25/27）. Hemor- rhage continued in 2 TAE eases but it stopped after receiving another TAE treatment. The hemostatic effect was satisfactory. The average postoperative survival duration was fifteen months. Conclusions The emergency treatment of TAE or TACE are minimally invasive, safe and effective for repture hemor- rhage of primary hepatic carcinoma.

关 键 词：肝癌 破裂出血 急诊介入 栓塞 

分 类 号：R735.7[医药卫生—肿瘤]