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经导管动脉栓塞治疗创伤性血胸

[Traumatic hemothorax treated with transcatheter arterial embolization].

作者信息

Mesaki Kumi, Fukuhara Tetsuji, Hanaoka Toshihito, Kobayashi Naruyuki, Nakagawa Kazuhiko, Kobayashi Kazuyasu, Sanomura Takayuki, Uchinomura Satoshi, Hosokawa Kazue, Kato Tsutomu

机构信息

Department of Surgery, Sumitomo-Bessi Hospital, Niihama, Japan.

出版信息

Kyobu Geka. 2014 May;67(5):379-81.

Abstract

A 33-year-old man was transported to our hospital following a traffic accident. He was found to have hemopneumothorax, multiple rib fractures and lung injury by computed tomography(CT). Despite thoracic drainage and fluid resuscitation, he became hemodynamically unstable. At 2 hours after arrival, CT revealed worsening in hemothorax. Emergency angiography of intercostal arteries showed signs of hemorrhage from intercostal arteries, and embolization of the 3∼6th intercostal arteries was performed. After transcatheter arterial embolization(TAE), his vital signs got stable and he was discharged without significant complication.

摘要

一名33岁男性在交通事故后被送往我院。通过计算机断层扫描(CT)发现他患有血气胸、多根肋骨骨折和肺损伤。尽管进行了胸腔引流和液体复苏,但他的血流动力学仍不稳定。入院2小时后,CT显示血胸加重。肋间动脉急诊血管造影显示肋间动脉有出血迹象,并对第3至6肋间动脉进行了栓塞。经导管动脉栓塞术(TAE)后,他的生命体征稳定,出院时无明显并发症。

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