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肝动脉栓塞术临床结果的评估

The evaluation of clinical results of hepatic artery embolization.

作者信息

Słomka M, Radwan P

机构信息

Clinic of Gastroenterology, Medical Academy of Lublin, Poland.

出版信息

Mater Med Pol. 1992 Jul-Sep;24(3):193-5.

PMID:1307653
Abstract

The clinical symptoms and liver function following hepatic artery embolization (h.a.e.) in patients with inoperable liver neoplasms were evaluated. The study was performed on 28 patients 11 of whom were male in the age of 53-72 years and 17 female aged 16-76. Before embolization liver function was evaluated on the basis of clinical data and laboratory tests. Transcatheter hepatic artery embolization was performed using Spongostan. Following h.a.e. clinical status and biochemical analysis of blood and urine were checked repeatedly. Twenty-two patients developed post embolization syndrome dominated by: epigastric pain, nausea, and vomiting. Fourteen patients and disturbed intestinal motoric. All those symptoms were transient and lasted 1-3 days. Elevated body temperature was observed in 14 patients. There was a statistically significant increase of ALAT & AspAT after embolization lasting for a few days. There were however no statistically significant changes in the results of tymol test and total bilirubin level in blood.

摘要

对无法手术的肝脏肿瘤患者进行肝动脉栓塞术(H.A.E.)后的临床症状和肝功能进行了评估。该研究对28例患者进行,其中11例为男性,年龄在53 - 72岁之间,17例为女性,年龄在16 - 76岁之间。在栓塞前,根据临床数据和实验室检查对肝功能进行评估。使用明胶海绵进行经导管肝动脉栓塞术。肝动脉栓塞术后,反复检查临床状态以及血液和尿液的生化分析。22例患者出现栓塞后综合征,主要表现为:上腹部疼痛、恶心和呕吐。14例患者出现肠道运动紊乱。所有这些症状都是短暂的,持续1 - 3天。14例患者体温升高。栓塞后谷丙转氨酶(ALAT)和谷草转氨酶(AspAT)有统计学意义的升高,持续数天。然而,麝香草酚浊度试验结果和血液中总胆红素水平没有统计学意义的变化。

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