超选择血管栓塞治疗晚期扁桃体癌大出血1例  

A case of selective embolization in treatment of advanced tonsillar cancer hemorrhage

作　　者：彭平[1,2] 陈华[1,3] 

机构地区：[1]三峡大学人民医院 [2]宜昌市第一人民医院耳鼻咽喉科,湖北宜昌443000 [3]宜昌市第一人民医院放射科,湖北宜昌443000

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第17期1359-1360,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告患者,男,54岁,右侧扁桃体癌放疗后半年复发,伴咽部反复出血4d,加重1d。最多单次出血量约200ml,经药物及扁桃体窝局部明胶海绵反复填塞压迫等治疗后,仍出血不止。由外院急诊转入我院。体检：患者呈贫血貌,神志清楚,精神差。右侧扁桃体中上部见一直径约2cm的溃疡面伴活动性出血,清除原填塞明胶海绵,见其溃面深约1cm,腭咽弓与腭舌弓部分坏死缺失。反复局部纱球压迫仍出血不止。This paper reports a case of recurrence of tonsillar cancer on the right 6 months after radiotherapy with pharyngeal hemorrhage for 4 days and aggravation in the next day. The pharyngeal hemorrhage was severe in the case and the maximum of single amount of bleeding was approximately 200 ml. The examination showed active bleeding on the ulcer with a diameter of 2 cm in the right tonsil and the depth of 1 cm. After repeated compression hemostasis proved to be invalid, selective embolization was applied on the patient and the symtoms of pharyngeal hemorrhage disappeared without complications. The patient was discharged after 2 weeks of observation without any recurrence of hemorrhage.

关 键 词：数字减影血管造影术 扁桃体癌 栓塞术 

分 类 号：R739.64[医药卫生—肿瘤]