Rubin B E, Katzen B T
AJR Am J Roentgenol. 1977 Aug;129(2):253-6. doi: 10.2214/ajr.129.2.253.
Two patients who sustained liver trauma with intrahepatic and intraperitoneal hemorrhage are reported. Selective and subselective arteriography identified the hemorrhagic artery in each case. Transcatheter therapeutic embolization successfully stopped the hemorrhage acutely in one patient and produced almost complete cessation of hemorrhage in the other patient. No further blood replacement was required after the emoblization procedures. Liver function tests were abnormal prior to embolization and gradually improved afterward. Neither patient required surgery, and both were discharged from the hospital. Each patient has remained free of symptoms for 5 and 4 months, respectively. Arteriography offers accurate diagnostic information and therapeutic potential in patients who experience hemorrhage following trauma. In addition, therapeutic embolization may offer decreased morbidity and reduced hospital stay. Successful results of therapeutic embolization depend on awareness of its usefulness and upon rapid mobilization of angiographic and support personnel.
报告了两名发生肝外伤并伴有肝内和腹腔内出血的患者。选择性和亚选择性动脉造影确定了每例患者的出血动脉。经导管治疗性栓塞在一名患者中成功迅速地止住了出血，在另一名患者中几乎完全止住了出血。栓塞术后无需进一步输血。栓塞术前肝功能检查异常，术后逐渐改善。两名患者均无需手术，均已出院。两名患者分别已无症状5个月和4个月。动脉造影为创伤后出血的患者提供了准确的诊断信息和治疗潜力。此外，治疗性栓塞可能会降低发病率并缩短住院时间。治疗性栓塞的成功结果取决于对其有用性的认识以及血管造影和支持人员的快速行动。
