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颅内动脉瘤弹簧圈栓塞术后腹膜后血肿：病例报告。

Retroperitoneal hematoma after coil embolization of cerebral aneurysm -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S187-90. doi: 10.4097/kjae.2010.59.S.S187. Epub 2010 Dec 31.

DOI:10.4097/kjae.2010.59.S.S187
PMID:21286437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030033/
Abstract

We present the case of a 57-year-old man who developed retroperitoneal hemorrhage due to unintentional arterial puncture during femoral artery cannulation for Guglielmi detachable coil embolization. On emergence from anesthesia, he developed severe hypotension. Computed tomographic angiogram of the abdomen showed retroperitoneal hematomas around the urinary bladder, liver, and spleen. Because femoral artery cannulation is a common procedure for intravascular embolization in neuroradiologic procedures, Clinicians should be aware of the development of severe hematomas as a consequence of femoral artery puncture.

摘要

我们报告了一例 57 岁男性患者，在行股动脉插管用于可脱性弹簧圈栓塞术时，因意外动脉穿刺导致腹膜后出血。患者从麻醉中苏醒时出现严重低血压。腹部 CT 血管造影显示膀胱、肝脏和脾脏周围有腹膜后血肿。由于股动脉插管是神经放射学程序中血管内栓塞的常见操作，因此临床医生应意识到股动脉穿刺后可能会出现严重血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/f68406792044/kjae-59-S187-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/72e6a82ea2a4/kjae-59-S187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/c8a68f540e61/kjae-59-S187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/8cce18ac3874/kjae-59-S187-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/f68406792044/kjae-59-S187-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/72e6a82ea2a4/kjae-59-S187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/c8a68f540e61/kjae-59-S187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/8cce18ac3874/kjae-59-S187-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/f68406792044/kjae-59-S187-g004.jpg

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引用本文的文献

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Periprocedural morbidity and mortality by endovascular treatment of cerebral aneurysms with GDC: a retrospective 12-year experience of a single center.
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Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices.在糖蛋白IIb/IIIa抑制剂和血管闭合装置时代，经皮冠状动脉介入治疗后发生腹膜后血肿的危险因素。
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Percutaneous decompression for femoral neuropathy secondary to heparin-induced retroperitoneal hematoma: case report and review of the literature.经皮减压治疗肝素诱导的腹膜后血肿继发股神经病变：病例报告及文献复习
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