Hussmann B, Taeger G, Wanke I, Waydhas C, Schoch B, Nast-Kolb D, Lendemans S
Klinik für Unfallchirurgie, Universitätsklinikum Essen, Essen, Deutschland.
Unfallchirurg. 2009 Dec;112(12):1070-4. doi: 10.1007/s00113-009-1638-6.
Transarterial embolization of ruptured intercostal arteries due to massive bleeding represents an infrequent indication in severely injured patients. The current literature shows isolated case descriptions but no clinical trials exist. In the case depicted here embolization is represented as a form of therapy after haemorrhagic shock caused by a ruptured intercostal artery. The embolization carried out led to an immediate cessation of bleeding. The vital signs returned to normal immediately after the procedure and surgical intervention could be avoided. The course of the disease represented in the following shows the effectiveness of this type of treatment not only for bleeding due to pelvic fractures and abdominal injuries, but also for isolated arterial bleeding in other body regions.
因大出血导致的肋间动脉破裂的经动脉栓塞术在重伤患者中是一种罕见的适应证。目前的文献仅有个别病例描述，尚无临床试验。在此描述的病例中，栓塞术是作为肋间动脉破裂导致失血性休克后的一种治疗方式。所进行的栓塞术使出血立即停止。术后生命体征立即恢复正常，从而避免了手术干预。以下所呈现的病程表明，这种治疗方法不仅对骨盆骨折和腹部损伤引起的出血有效，对身体其他部位的孤立性动脉出血也有效。
