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创伤性肾出血的超选择性经导管栓塞术

Superselective transcatheter embolization of traumatic renal hemorrhage.

作者信息

Richman S D, Green W M, Kroll R, Casarella W J

出版信息

AJR Am J Roentgenol. 1977 May;128(5):843-6. doi: 10.2214/ajr.128.5.843.

Abstract

Selective angiography is an established diagnostic modality in acute renal trauma [1-3]. Renal hemorrhage, once demonstrated by angiography, can then be treated by arterial embolization [4-5]. This paper describes the successful transcatheter management of a renal laceration in a patient with multiple injuries secondary to an abdominal gunshot wound. Adominal exploration had established that the renal hemorrhage could not be surgically controlled without performing a nephrectomy.

摘要

选择性血管造影是急性肾外伤公认的诊断方法[1-3]。一旦血管造影显示肾出血,即可通过动脉栓塞进行治疗[4-5]。本文描述了一名腹部枪伤继发多发伤患者肾裂伤的成功经导管治疗。腹部探查发现,不进行肾切除术,手术无法控制肾出血。

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