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直肠动脉栓塞术:外伤性直肠内出血所致失血性休克的一种替代治疗方法。

Embolization of rectal arteries: an alternative treatment for hemorrhagic shock induced by traumatic intrarectal hemorrhage.

作者信息

Pichon Nicolas, François Bruno, Pichon-Lefièvre Florence, Mathonnet Murielle, Maubon Antoine, Vignon Philippe

机构信息

Dupuytren University Hospital, 2 Avenue Martin Luther King, Limoges, 87042, France.

出版信息

Cardiovasc Intervent Radiol. 2005 Jul-Aug;28(4):515-7. doi: 10.1007/s00270-004-0168-4.

DOI:10.1007/s00270-004-0168-4
PMID:16010510
Abstract

Rectal injuries caused by foreign bodies or iatrogenic insertions may lead to severe complications whose therapeutic management remains controversial. At times, both the rapid identification and treatment of subsequent active rectal bleeding may be challenging, especially when endoscopy fails to locate and control the arterial hemorrhage. We present the first two successful cases of middle rectal artery embolization in patients presenting with sustained bleeding and hemorrhagic shock.

摘要

由异物或医源性插入导致的直肠损伤可能会引发严重并发症,其治疗管理仍存在争议。有时,快速识别和治疗随后出现的活动性直肠出血可能具有挑战性,尤其是在内镜检查未能定位和控制动脉出血时。我们报告了首例两例成功的直肠中动脉栓塞病例,患者表现为持续性出血和失血性休克。

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引用本文的文献

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Angiographic description of the superior rectal artery and its anatomical variations in patients undergoing embolization of the superior rectal arteries in hemorrhoidal disease treatment.痔病治疗中直肠上动脉栓塞患者的直肠上动脉血管造影描述及其解剖变异
Einstein (Sao Paulo). 2024 Sep 30;22:eAO0688. doi: 10.31744/einstein_journal/2024AO0688. eCollection 2024.
2
Middle rectal artery: myth or reality? Retrospective study with CT angiography and digital subtraction angiography.直肠中动脉:神话还是现实?CT血管造影和数字减影血管造影的回顾性研究。
Surg Radiol Anat. 2013 Aug;35(6):517-22. doi: 10.1007/s00276-012-1068-y. Epub 2013 Jan 8.
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Catheter-directed middle hemorrhoidal artery embolization for life-threatening rectal bleeding.
导管导向的直肠中动脉栓塞术治疗危及生命的直肠出血。
Can J Gastroenterol. 2007 Feb;21(2):117-23. doi: 10.1155/2007/272641.
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[Gastrointestinal bleeding. Diagnostics and therapy by interventional radiology].
Chirurg. 2006 Feb;77(2):117-25. doi: 10.1007/s00104-005-1140-9.