医源性下腔静脉损伤原因及处理  

Causes and treatment to iatrogenic inferior vena cava injury

作　　者：蒋米尔[1] 刘晓兵[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院血管外科上海交通大学医学院血管病诊治中心,上海200011

出　　处：《中国实用外科杂志》2014年第12期1155-1157,共3页Chinese Journal of Practical Surgery

摘　　要：医源性下腔静脉损伤时刻挑战着甚至最有经验和熟练技术的外科医生。高并发症发生率和病死率的原因很大程度上是由于下腔静脉的损伤部位非常难以暴露清楚并进行及时修补。充分的术前准备和术中正确的处理对策可以降低其发生率。血管腔内技术可以在严重出血情况下,提供及时控制出血的微创治疗手段。这种技术的进一步经验积累,还需要建立的长期移植物耐久性、安全性的随访,特别是它涉及到抗凝药物与移植物的密切监视。Iatrogenic injury to the inferior vena cava（IVC） represents a daunting challenge to even the most skilled and experienced surgeon. The high morbidity and mortality rates related to the injury are largely because of the inaccessibility of the injury portion of the IVC even with extensive exposure techniques. The adequate preoperative preparation and right intraoperative treatment can reduce its incidence. The endovascular techniques can provide micro invasive treatment to help with hemorrhage control in dire circumstances. Further experience with the technique is needed to establish safety and long-term durability, especially as it relates to indication and duration of anticoagulation and graft surveillance.

关 键 词：医源性 下腔静脉损伤 腔内修复 

分 类 号：R6[医药卫生—外科学]