Kessel B, Alfici R, Ashkenazi I, Risin E, Moisseev E, Soimu U, Bartal G
Surgery B Department, Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.
Thorac Cardiovasc Surg. 2004 Aug;52(4):234-6. doi: 10.1055/s-2004-821076.
Massive hemothorax is an indication for thoracotomy. We report a case of an 85-year-old debilitated patient, in whom massive hemorrhage from an actively bleeding intercostal artery was controlled by angiographic embolization. Angiographic embolization proved to be an effective alternative to thoracotomy in this patient, thus avoiding numerous postoperative complications and high mortality. Massive bleeding from an intercostal artery should be considered an indication for angiographic embolization in selected patients.
大量血胸是开胸手术的指征。我们报告一例85岁体弱患者，其肋间动脉活动性出血导致的大量出血通过血管造影栓塞得以控制。血管造影栓塞在该患者中被证明是开胸手术的有效替代方法，从而避免了众多术后并发症和高死亡率。对于选定的患者，肋间动脉大量出血应被视为血管造影栓塞的指征。
