采用微创经皮超选择性动脉栓塞术治疗危及生命的腹腔积血。
Management of life-threatening hemoperitoneum with minimally invasive percutaneous superselective arterial embolization.
作者信息
Synghal Gaurav, Ford Iv Kenneth, Ford Iii Kenneth, Trimmer Clayton
机构信息
Department of Radiology, Baylor University Medical Center, Dallas, Texas.
出版信息
Proc (Bayl Univ Med Cent). 2020 Nov 11;34(2):286-288. doi: 10.1080/08998280.2020.1840183.
Abstract
The management of spontaneous hemoperitoneum centers on clinical suspicion, fluid resuscitation, appropriate early imaging, and therapeutic intervention. Traditionally, explorative laparotomy has been the treatment of choice for idiopathic spontaneous intraabdominal hemorrhage, but as less invasive percutaneous techniques have matured, superselective arterial embolization may play a critical role in emergent treatment. This case report describes a 65-year-old woman with large-volume hemoperitoneum. At angiography, a single pseudoaneurysm of the middle colic artery was identified and treated with superselective endovascular methods.
摘要
自发性血腹的治疗重点在于临床怀疑、液体复苏、适当的早期影像学检查以及治疗性干预。传统上，剖腹探查术一直是特发性自发性腹腔内出血的首选治疗方法，但随着侵入性较小的经皮技术的成熟，超选择性动脉栓塞术可能在紧急治疗中发挥关键作用。本病例报告描述了一名65岁的女性，她患有大量血腹。在血管造影术中，发现了结肠中动脉的单个假性动脉瘤，并采用超选择性血管内方法进行了治疗。
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