婴幼儿经皮肝穿刺活检的并发症
Complications of percutaneous liver biopsy in infants and children.
作者信息
Lachaux A, Le Gall C, Chambon M, Regnier F, Loras-Duclaux I, Bouvier R, Pinzaru M, Stamm D, Hermier M
机构信息
Service d'Hépatogastroentérologie et Nutrition Pédiatriques, Pavillon S - Hôpital Edouard Herriot, Lyon, France.
出版信息
Eur J Pediatr. 1995 Aug;154(8):621-3. doi: 10.1007/BF02079063.
UNLABELLED
In this study, 144 consecutive percutaneous liver biopsies performed with a 1.6 mm Menghini needle, during a 2-year period were reviewed. All the children were aged under 15 years, 57 patients less than 1 year and 87 more than 1 year. All biopsies were adequate and the mean number of portal tracts examined was 17.6 per biopsy (14.3 in patients weighing less than 10 kg and 19.1 in the others). There were no deaths and we observed only bleeding complications. In patients with normal coagulation (128 cases), 1 bleeding requiring transfusion occurred; and in patients with abnormal coagulation (16 cases), we observed 2 bleeding cases requiring transfusion.
CONCLUSION
Percutaneous liver biopsy can be performed with 1.6 mm needles in children. For increased safety, ultrasound-guided biopsies are recommended.
未标注
在本研究中，回顾了在两年期间使用1.6毫米Menghini针进行的144例连续经皮肝活检。所有儿童年龄均在15岁以下，57例患者年龄小于1岁，87例患者年龄大于1岁。所有活检均足够，每次活检检查的门静脉分支平均数量为17.6个（体重小于10千克的患者为14.3个，其他患者为19.1个）。无死亡病例，仅观察到出血并发症。在凝血功能正常的患者（128例）中，发生1例需要输血的出血；在凝血功能异常的患者（16例）中，观察到2例需要输血的出血病例。
结论
儿童经皮肝活检可使用1.6毫米针进行。为提高安全性，建议进行超声引导下活检。
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