Mokoena T, Abdool-Carrim A T
Department of Surgery, University of Natal, Durban.
S Afr Med J. 1991 Dec 7;80(11-12):595-7.
Life-threatening exsanguinating haemorrhage from arteries of the face following trauma is uncommon. When it occurs it is often located in the relatively inaccessible parts of the vessels and requires deep face or neck exploration and ligation of the main feeding vessel. The procedure requires expert head and neck vascular surgery performed under general anaesthesia, which is often not suitable in these haemodynamically unstable patients. In addition, surgery is often rendered more difficult by the associated post-traumatic swelling and disfigurement. Because of these considerations, angiographic embolisation of the bleeding vessels was performed as an alternative to surgical exploration. This report illustrates its use in achieving haemostasis in 2 patients.
创伤后面部动脉危及生命的大出血并不常见。一旦发生，出血部位往往位于血管相对难以触及的区域，需要进行深部面部或颈部探查，并结扎主要供血血管。该手术需要在全身麻醉下由头颈血管外科专家进行，而这对于血流动力学不稳定的患者往往并不适用。此外，创伤后的肿胀和畸形常常会使手术难度加大。鉴于这些因素，对出血血管进行血管造影栓塞术作为手术探查的替代方法。本报告阐述了其在2例患者中实现止血的应用情况。
