| 钟晓,陈勇,赵卉.肾动脉栓塞治疗严重肾外伤合并出血性休克[J].中国医学影像技术,2002,18(10):1033~1034 |
| 肾动脉栓塞治疗严重肾外伤合并出血性休克 |
| Management of Severe Renal Traumatic Hemorrhage shock by Superselective Transarterial Embolization |
| 投稿时间：2002-03-15 |
| DOI： |
| 中文关键词: 肾外伤出血 休克 栓塞 |
| 英文关键词:Renal traumatic hemorrhage Shock Embolization |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨肾动脉栓塞术治疗肾损伤合并出血性休克的疗效
及安全性。方法 肾外伤合并出血性休克9例。经皮股动脉穿刺选择性肾动
脉造影,超选择性插管后注入明胶海绵颗粒及真丝线段栓塞。随访1~48个月。结果 除1例因肾蒂及肾动脉主干损伤而手术外,其余8例
止血效果良好,术后血尿停止,IVP及肾核素复查患肾功能正常,未出现严重并发症。结论 经导管动脉栓塞治疗严重肾损伤合并大出血是一安全、有效的方法。 |
| 英文摘要: |
| Objective To assess the efficiency and safety of
superselective transarterial embolization in the treatment of severe renal trau
matic hemorrhage shock. Methods There were 9 patients with seve
re renal traumatic hemorrhage shock.Af
ter selective renal arterial angiography via femoral artery,superselective tran
sarterial embolization with particles of gelation sponge and silk filament were
performed.Follow-up period was 1 month to 4 years. Results Bl
eeding stopped im
mediately after embolization in 8 patients.Persisted hemorrhage was managed by
surgical intervention in one patient with concomitant renal arterial stem.There
were no complications. Conclusion It suggested that supersel
ective arterial embolization treatment for renal injure hemorrhage be a safe and
efficient therapeatic method. |
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