经皮动脉栓塞术治疗术后出血13例

    Transarterial embolization treatment for postoperative hemorrage

    • 摘要: 目的:探讨经皮动脉栓塞术治疗术后出血的应用价值。方法:对外科术后或活检等术后反复出血的13例患者给予动脉造影术,对出血血管行栓塞治疗,观察治疗效果。结果:血管造影发现假性动脉瘤6例,造影剂外溢6例,未见明显异常1例。动脉栓塞后有12例出血得到控制。再出血1例,再次栓塞后仍未能控制出血,后诊断为血友病。结论:动脉栓塞术是治疗术后出血的有效方法,具有微创、安全、迅速的特点。

       

      Abstract: Objective:To discuss the value of transarterial embolization for postoperative hemorrage.Methods:Arterial angiography and transarterial embolization were performed in 13 patients with recurrent postoperative bleeding after surgery and biopsy,and efficiency of the operation was observed.Results:After angiography was perfomed in 13 patients,pseudoaneurysms were found in 6 patients,contrast medium extravasations were found in other 6 patients,and no abnomal arteriography was found in another 1 patient.Bleeding was controlled in 12 patients of the 13 patients after accepted transarterial embolization.Recurrent bleeding occurred in 1 patient of the 13 patients and it was not controlled after accepted transarterial embolization again for the reason of hemophilia.Conclusions:Transarterial embolization is safe,invasive and effective method for treatment of postoperative bleeding.

       

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