急诊血管内介入术临床价值的探讨  

The exploration of clinical value of intravascular intervention in emergency

作　　者：柴小民[1] 黄求理[1] 宋侃侃[1] 施建国[1] 王荣[1] 

机构地区：[1]浙江省宁波市第一医院影像科,315010

出　　处：《浙江临床医学》2004年第5期363-364,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨急诊血管内介入诊疗方法、疗效及临床应用价值。方法 对284例血管破裂出血或血管闭塞患者采用血管内栓塞术、成形术、溶栓术及血管造影诊断。 结果 205例介入栓塞止血成功率94% ,其中150例支气管扩张、肺结核大咯血止血率92 % ,35例肝癌血管破裂止血率100% ,42例动、静脉闭塞 ,用成形术 +溶栓术再通率75.8%。结论 介入微创治疗在急诊医学中是一种抢救某些危重患者的有效治疗的新方法。Objective To explore the diagnostic and therapeutic value of intravascular intervention in emergency. Methods 242cases of acute active bleeding and42cases of vascular occlusion were treated with intravascular embolization,angioplasty,thrombolysis and angiography. Results 205cases of acute bleeding were embolized successfully and success rate was94%,of whom,92%of150cases of bronchiectasis and tuberculous severe hemˉorrhage were cured,all of35cases of liver cancer hemorrhage cured successfully and42cases of arterial and venous occlusion were treated by angioplasty and thrombolysis and recanalization rate was75.8%. Conclusion Mitrotrauma intervention treatment is an effective method in saving some severe patients in emergency.

关 键 词：急诊 血管内介入术 血管破裂出血 血管闭塞 血管内栓塞术 血管内溶栓术 血管内成形术 血管造影诊断 

分 类 号：R459.7[医药卫生—急诊医学]