Ankenman G J, Murray J B
Can J Surg. 1982 May;25(3):269-71.
A 35-year-old woman underwent a left pyelonephrolithotomy for removal of a staghorn calculus. Blood loss was minimal for 5 days. Then there was profuse bleeding from the left kidney that did not respond to conservative management. Angiographic examination demonstrated extravasation of contrast medium from a minor intrarenal artery in the lower pole of the kidney directly into the pelvicalyceal system. An attempt was made to embolize the bleeding vessel with Gelfoam particles but this failed because the Gelfoam passed directly into the collecting system. A Gianturco coil, however, occluded the vessel and immediately the hemorrhage ceased; the patient had no further complications. The authors emphasize that the introduction of a steel coil to control bleeding is advocated only when the use of temporary occlusive agents is unsuccessful.
一名35岁女性因鹿角形结石接受了左肾盂切开取石术。术后5天失血极少。随后左肾出现大量出血，保守治疗无效。血管造影检查显示造影剂从肾下极一条较小的肾内动脉直接外渗至肾盂肾盏系统。尝试用明胶海绵颗粒栓塞出血血管，但未成功，因为明胶海绵直接进入了集合系统。然而，一个 Gianturco 线圈阻塞了血管，出血立即停止；患者未出现进一步并发症。作者强调，仅在使用临时闭塞剂不成功时才提倡引入钢圈来控制出血。
