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门诊患者经皮肝穿刺活检

[Percutaneous liver biopsy in outpatients].

作者信息

Ocampo M E, Piñero R, Urquiola G, Marsicano L, Salomón A, Poleo J R

出版信息

G E N. 1990 Jan-Mar;44(1):52-4.

PMID:2152257
Abstract

We studied prospectively 44 patients with diffuse liver disease. We performed percutaneous liver biopsy in these outpatients. They were required to be in absolute response during the following 4-6 hours after the biopsy was completed. After that period, they could go home and have a relative rest for the remnant day. These patients were followed by clinical evaluation and by real time abdominal ultrasound. We found some complications: Transitory arterial hypotension, pain in the site of puncture, hepatic hematomas. Only one of the patients with hematomas required hospitalization during 24 hours. The mortality was 0%. According to our experience, the hepatic biopsy is a procedure that can be performed in outpatients with a wide margin of security. An important point of view to consider is the economic advantage since it means a decrease in costs by each hepatic biopsy accomplished considering the cost/day of hospitalization.

摘要

我们对44例弥漫性肝病患者进行了前瞻性研究。我们对这些门诊患者进行了经皮肝活检。活检完成后的接下来4至6小时内,要求他们绝对卧床。在此期间过后,他们可以回家,并在当天其余时间进行相对休息。对这些患者进行了临床评估和实时腹部超声检查。我们发现了一些并发症:短暂性动脉低血压、穿刺部位疼痛、肝血肿。只有1例有血肿的患者在24小时内需要住院治疗。死亡率为0%。根据我们的经验,肝活检是一种可以在门诊患者中安全进行的操作。需要考虑的一个重要观点是经济优势,因为考虑到住院每日费用,每完成一次肝活检意味着成本降低。

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