摘要
目的探讨超选择性肝动脉造影及栓塞对肝外伤诊断及治疗的价值。方法15例肝脏闭合性损伤患者,采用改良Seldinger法股动脉穿刺置管,超选择性肝动脉造影,明胶海绵颗粒及明胶海绵条栓塞。结果15例病例均诊断明确,栓塞成功,出血得到控制。其中,3例多脏器复合伤致低血压休克患者栓塞后1 h血压止跌回升。结论肝动脉超选择性血管造影及栓塞治疗对肝脏外伤性出血诊断明确,栓塞止血效果肯定,疗效满意,具有临床应用价值。
Objective To investigate the diagnosis and treatment value of super- selective hepatic artery angiography and embolization after liver injury. Methods 15 patients with closed liver injury with a modified Seldinger method of femoral artery puncture, ultra- selective hepatic artery angiography, gelatin sponge particles and gelatin sponge strip embolization. Results 15 cases were diagnosed surely, embolization success and bleeding controled. 3 cases of low blood pressure with shock caused by complex multi - organ injuries, blood pressure go up again after 1 h embolization. Conclusion The super- selective angiography of hepatic artery and embolization in the treatment of traumatic liver hemorrhage have advantage of diagnosis surely, curative effect satisfactory and it has clinical value.
出处
《黑龙江医学》
2009年第12期935-937,共3页
Heilongjiang Medical Journal
