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经皮肝穿刺活检的并发症。

Complications of percutaneous liver biopsy.

作者信息

Wawrzynowicz-Syczewska Maria, Kruszewski Tomasz, Boron-Kaczmarska Anna

机构信息

Department of Infectious Diseases, Pomeranian Academy of Medicine, Arkońska 4 str., 71-455 Szczecin, Poland.

出版信息

Rom J Gastroenterol. 2002 Jun;11(2):105-7.

Abstract

Complications that arose after 861 percutaneous liver biopsies performed from 1997 to 2001 were reviewed. They were analysed in relation to the underlying liver disease. Minor complications as the severe pain requiring intravenous analgetics administration occurred in 60 cases (6.9%) within two hours after the biopsy. Twelve cases (1.4%) of major complications as haemoperitoneum, haemo- or pneumothorax, severe hypotension due to vaso-vagal reaction, septic shock and puncture of another viscera were noted within 12 hours after procedures. Half of those complications and the most serious ones as haemoperitoneum occurred in cirrhotic patients and were connected with more than one needle pass. No biopsy-related deaths were observed.

摘要

回顾了1997年至2001年期间进行的861例经皮肝穿刺活检术后出现的并发症。对这些并发症与潜在的肝脏疾病进行了分析。轻微并发症如活检后两小时内需要静脉注射镇痛药的严重疼痛发生在60例(6.9%)患者中。在术后12小时内注意到12例(1.4%)严重并发症,如腹腔积血、血胸或气胸、血管迷走神经反应引起的严重低血压、感染性休克和穿刺到其他脏器。这些并发症中有一半以及最严重的腹腔积血发生在肝硬化患者中,并且与多次穿刺有关。未观察到与活检相关的死亡病例。

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