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胃肠道及腹部出血的动脉造影及紧急栓塞治疗的适应证(作者译)

[Indications of arteriography and of emergency embolization in gastrointestinal tract and abdominal hemorrhages (author's transl)].

作者信息

Merland J J, Theibot J, Bories J

出版信息

Acta Chir Belg. 1978 Apr;77(2):123-34.

PMID:307322
Abstract

A propos 24 cases of gastro-intestinal tract's embolization of which eleven were performed in emergency for bleeding, the principle indications are described and illustrated. In some cases embolization gracefully replaces the ligation by a rapid and simple procedure at the time of diagnostic arteriography, preparing with safety the operative cure. In other cases embolization alone is curative: arteriovenous fistulas, telangiectases in 'Osler-'s disease, radiotherapic bleeding lesions, inoperable cancers. This implies the presence of trained radiologic teams and a tight collaboration with intensive care, endoscopy and surgery in large medical center. In this view the existence of radio-surgical rooms is useful.

摘要

关于24例胃肠道栓塞术,其中11例因出血而进行急诊栓塞,本文描述并举例说明了主要适应症。在某些情况下,栓塞术在诊断性动脉造影时通过快速简单的操作巧妙地替代了结扎术,为手术治疗安全地做好准备。在其他情况下,单独的栓塞术即可治愈:动静脉瘘、奥斯勒病中的毛细血管扩张、放射治疗引起的出血性病变、无法手术的癌症。这意味着需要有训练有素的放射科团队,并在大型医疗中心与重症监护、内镜检查和外科手术紧密协作。从这个角度来看,放射手术室的存在是很有用的。

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