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伤寒热所致出血的选择性动脉造影诊断

Diagnosis by selective arteriography in hemorrhage resulting from typhoid fever.

作者信息

Suchato C, Vongvichien P, Phanchet S, Raksasook S

出版信息

Ann Surg. 1974 Jun;179(6):941-4. doi: 10.1097/00000658-197406000-00022.

DOI:10.1097/00000658-197406000-00022
PMID:4546016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1355930/
Abstract

Two cases of complicating hemorrhage resulting from typhoid fever which were demonstrated by selective superior mesenteric arteriography are presented. The site of bleeding was at the caecum which is an uncommon site in typhoid hemorrhage. In both cases there was failure to stop the bleeding by using a vasopressin infusion. However, arteriography proved very helpful in locating the site of bleeding and vasopressin infusion can still be recommended to decrease intraluminal hemorrhage and improve the general condition of the patient before undergoing operation.

摘要

本文介绍了两例通过选择性肠系膜上动脉造影证实的伤寒热并发出血病例。出血部位在盲肠，这在伤寒出血中是一个不常见的部位。在这两例病例中，使用血管加压素输注均未能止血。然而，动脉造影在确定出血部位方面非常有帮助，并且在手术前仍可推荐使用血管加压素输注以减少腔内出血并改善患者的一般状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/6b6723761370/annsurg00244-0128-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/204844f1a3dc/annsurg00244-0126-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/bb0c84d0ff6e/annsurg00244-0126-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/57183ddabf8b/annsurg00244-0126-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/b07387a3c747/annsurg00244-0127-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/9911ea7a7b12/annsurg00244-0127-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/9d54dd0dc5c6/annsurg00244-0128-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/6b6723761370/annsurg00244-0128-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/204844f1a3dc/annsurg00244-0126-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/bb0c84d0ff6e/annsurg00244-0126-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/57183ddabf8b/annsurg00244-0126-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/b07387a3c747/annsurg00244-0127-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/9911ea7a7b12/annsurg00244-0127-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/9d54dd0dc5c6/annsurg00244-0128-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d7/1355930/6b6723761370/annsurg00244-0128-b.jpg

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引用本文的文献

1
Typhoid fever with caecal ulcer bleed: managed conservatively.伤寒伴盲肠溃疡出血：保守治疗。
BMJ Case Rep. 2014 Mar 31;2014:bcr2014203756. doi: 10.1136/bcr-2014-203756.

本文引用的文献

1
Operative mesenteric arteriography in the search for the site of bleeding in unexplained gastrointestinal hemorrhage: a preliminary report.术中肠系膜动脉造影用于探寻不明原因胃肠道出血的出血部位：初步报告
Surgery. 1960 Sep;48:534-9.
2
MANAGEMENT OF TYPHOID FEVER AND ITS COMPLICATIONS.伤寒热及其并发症的管理
Ann Intern Med. 1964 Jan;60:144-57. doi: 10.7326/0003-4819-60-1-144.
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CLINICAL COURSE, COMPLICATIONS AND MORTALITY IN TYPHOID FEVER AS COMPARED WITH PARATYPHOID B. A SURVEY OF 2,647 CASES.
Acta Med Scand. 1963 Dec;174:753-60. doi: 10.1111/j.0954-6820.1963.tb16544.x.
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The complications of typhoid fever.伤寒热的并发症。
J Trop Med Hyg. 1961 Jun;64:143-52.
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Angiography in the diagnosis of chronic gastrointestinal bleeding.血管造影术在慢性胃肠道出血诊断中的应用
Radiology. 1971 Jan;98(1):83-91. doi: 10.1148/98.1.83.
6
Selective arterial infusions of vasoconstrictors in acute gastrointestinal bleeding.急性胃肠道出血时血管收缩剂的选择性动脉灌注
Radiology. 1971 Apr;99(1):27-36. doi: 10.1148/99.1.27.
7
Selective arteriography in the diagnosis of hemorrhage in the gastrointestinal tract.选择性动脉造影在胃肠道出血诊断中的应用
Radiol Clin North Am. 1969 Apr;7(1):131-45.
8
Localization of bleeding point in chronic and acute gastrointestinal hemorrhage by means of selective visceral arteriography.通过选择性内脏动脉造影术对慢性和急性胃肠道出血的出血点进行定位。
Am J Roentgenol Radium Ther Nucl Med. 1968 Jun;103(2):386-99. doi: 10.2214/ajr.103.2.386.
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Angiographic localization of gastrointestinal bleeding.胃肠道出血的血管造影定位
Gastroenterology. 1968 May;54(5):876-83.
10
Upper gastrointestinal hemorrhage. Undetected site localized by selective arteriography.上消化道出血。通过选择性动脉造影确定未检测到的出血部位。
Arch Surg. 1967 Jan;94(1):44-5. doi: 10.1001/archsurg.1967.01330070046012.