Pathi Ramon, Voyvodic Frank, Thompson William R
Division of Medical Imaging, Flinders Medical Centre, Bedford Park, South Australia, Australia.
Australas Radiol. 2004 Jun;48(2):123-8. doi: 10.1111/j.1440-1673.2004.01271.x.
Four cases of extraperitoneal haemorrhage occurring in the setting of anticoagulation or coagulopathy are presented. Treatment of this condition has traditionally consisted of reversal of anticoagulation and supportive therapy. Diagnosis was made on contrast-enhanced computed tomography. The finding of active contrast extravasation was found to be a factor predictive of failure of conservative therapy and, therefore, an indication for angiography and embolization. In all four cases presented in the present paper, the bleeding vessel(s) were identified and significant active bleeding arrested by transcatheter embolization.
本文报告了4例在抗凝或凝血病背景下发生的腹膜外出血病例。传统上，这种情况的治疗包括抗凝逆转和支持性治疗。通过增强CT进行诊断。发现对比剂外渗活跃是保守治疗失败的预测因素，因此也是血管造影和栓塞的指征。在本文介绍的所有4例病例中，均通过经导管栓塞术识别出出血血管并止住了大量活动性出血。
