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超声引导下聚桂醇注射治疗肾活检后活动性出血

Ultrasound-Guided Lauromacrogol Injection for the Treatment of Active Bleeding After Renal Biopsy.

作者信息

Liu Weizong, Jin Chunchun, Lian Qingshu, Xu Lifeng, Lin Zhanye, Lu Jianghao, Gong Xuehao

机构信息

Department of Ultrasound, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.

出版信息

Front Pharmacol. 2021 Dec 23;12:723634. doi: 10.3389/fphar.2021.723634. eCollection 2021.

DOI:10.3389/fphar.2021.723634
PMID:35002689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8733379/
Abstract

This study aimed to describe the technique and outcomes of hemostasis for ultrasound-guided lauromacrogol injection for active bleeding after renal biopsy. Data from patients with active bleeding after renal biopsy between January 2018 and December 2020 were retrospectively collected. Patients who still had active bleeding after 30 min of compression were then injected with lauromacrogol under ultrasound guidance. The patient's symptoms before and after operation were collected to assess whether they had severe complications. Changes in hemoglobin and serum creatinine values were collected. Data from a total of 15 patients with active bleeding after renal biopsy were collected, including data of 6 men and 9 women. After the operation, there were 11 cases of mild back pain; 1 case of chills, cold sweats, and back pain; 1 case of cold sweats and blood pressure reduction, and 2 cases with no obvious symptoms. No severe complications occurred in this study, and active bleeding was stopped in all patients. After the operation, compared with before the operation, there was no statistically significant difference in the hemoglobin value and serum creatinine value ( = 0.10 > 0.05, = 0.78 > 0.05). Ultrasound-guided lauromacrogol injection is a relatively simple, safe and feasible method, which could be helpful in treating active bleeding in the immediate post-procedure period after renal biopsy.

摘要

本研究旨在描述超声引导下聚桂醇注射治疗肾活检后活动性出血的止血技术及效果。回顾性收集2018年1月至2020年12月肾活检后出现活动性出血患者的数据。对压迫30分钟后仍有活动性出血的患者,在超声引导下注射聚桂醇。收集患者手术前后的症状,以评估是否发生严重并发症。收集血红蛋白和血清肌酐值的变化情况。共收集了15例肾活检后活动性出血患者的数据,其中男性6例,女性9例。术后有11例出现轻度腰痛;1例出现寒战、冷汗和腰痛;1例出现冷汗和血压下降,2例无明显症状。本研究未发生严重并发症,所有患者的活动性出血均停止。术后与术前相比,血红蛋白值和血清肌酐值差异无统计学意义(=0.10>0.05,=0.78>0.05)。超声引导下聚桂醇注射是一种相对简单、安全且可行的方法,有助于治疗肾活检后即刻的活动性出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0b2/8733379/32970143be85/fphar-12-723634-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0b2/8733379/32970143be85/fphar-12-723634-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0b2/8733379/32970143be85/fphar-12-723634-g001.jpg

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