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[由Swan-Ganz导管引起的肺动脉假性动脉瘤并经栓塞治疗]

[Pulmonary artery pseudoaneurysm caused by a Swan-Ganz catheter and treated by embolization].

作者信息

Labrunie E, Levy C, Paugam C, Augereau B, Tubiana J M

机构信息

Service de Radiologie, Hôpital Saint-Antoine, Paris.

出版信息

Ann Radiol (Paris). 1993;36(4):310-4.

PMID:8239472
Abstract

The frequency of life-threatening complications induced by Swan-Ganz catheter is estimated at 2% to 17%. Pseudoaneurysm formation secondary to traumatic injury of the pulmonary artery is rare (0.66% to 2%), but carries a high risk of hemorrhagie. Recognition of possible lesions should be based on clinical data and predisposing factors. Diagnostic and therapeutic investigations should be rapidly performed. Embolization is the best treatment giving very good results. Should acute hemorrhage occur in the operating room, emergency vascular occlusion can be carried out by the use of the Swan-Ganz catheter.

摘要

经 Swan - Ganz 导管诱发的危及生命并发症的发生率估计为 2%至 17%。肺动脉创伤继发的假性动脉瘤形成罕见(0.66%至 2%),但出血风险高。对可能病变的识别应基于临床数据和诱发因素。应迅速进行诊断和治疗性检查。栓塞是效果极佳的最佳治疗方法。若手术室发生急性出血,可使用 Swan - Ganz 导管进行紧急血管闭塞。

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