摘要
目的探讨血管介入技术(肝动脉造影及栓塞)在损伤控制性处理严重肝外伤中的应用价值。方法对13例损伤控制性处理后的严重肝外伤病人进行血管造影,观察是否有再出血的表现,并对出血动脉进行选择性的栓塞。观察止血效果。结果13例肝动脉造影显示2例胆道出血,5例肝外伤创面出血,3例假性动脉瘤形成,3例无出血征象。10例进行了出血肝动脉分支栓塞均成功止血。随访3个月至2年,无再出血病例及死亡病例。结论血管介入技术是诊断严重肝外伤行损伤控制性处理后是否再出血以及有效的止血方法。
Objective To evaluate the efficacy of the hepatic angiography and selective artery embolization in serious trauma of liver undergoing damage control surgery. Methods Thirteen cases of serious trauma of liver undergoing damage control surgery were treated with hepatic angiography and ten cases of them received transcatheter selective arterial embolization of the bleeding embranchment artery of liver. Results In the thirteen cases, hepatic angiography showed hemobilia in 2cases, bleeding on surface of traumatic liver in 5 cases, false aneurysm in 3 cases, and no bleeding sign in 3 cases. Ten cases having bleeding signs received selective arterial embolization and all seccsseful in hemostasia. No re-bleeding cases again and no death cases were found in three months to two years of follow-up visit. Conclusion The selective arterial embolization was effective and simple method for hemostasia in serious trauma of liver undergoing damage control surgery.
出处
《岭南现代临床外科》
2012年第1期26-27,31,共3页
Lingnan Modern Clinics in Surgery
