Warhadapande Shantanu, Dariushnia Sean R, Kokabi Nima, O'Connell William G, Newsome Janice M, Findeiss Laura K, Majdalany Bill S
Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia.
Semin Intervent Radiol. 2020 Mar;37(1):24-30. doi: 10.1055/s-0039-3402017. Epub 2020 Mar 4.
A bleeding patient is a common consult for interventional radiologists. Prompt triage, preprocedural evaluation specific to the site of hemorrhage, and knowledge of resuscitative strategies allow for a potentially life-saving procedure to be appropriately and safely performed. Having a firm understanding of the clinical work-up and management of a bleeding patient has never been more important. In this article, a discussion of the clinical approach and work-up of a bleeding patient for whom interventional radiology is consulted is followed by a discussion of etiology-specific preprocedural work-up.
出血患者是介入放射科医生常见的会诊对象。迅速进行分诊、针对出血部位进行术前评估以及掌握复苏策略,有助于安全、恰当地实施可能挽救生命的手术。深入了解出血患者的临床检查和管理至关重要。本文先讨论介入放射科会诊的出血患者的临床处理方法和检查,然后讨论针对病因的术前检查。