Lin Y C, Kudelka A P, Lawrence D, Verschraegen C F, Kavanagh J J, Edwards C L, Mante R, Freedman R S
Section of Gynecology Medical Oncology, University of Texas, Houston, USA.
Eur J Gynaecol Oncol. 1996;17(6):480-3.
A woman with a refractory locally advanced recurrent cervical cancer was brought to the emergency room because of a life-threatening vaginal hemorrhage from the tumor. She presented with a compromised hemodynamic status that necessitated multiple blood transfusions and large volume of fluid resuscitation. An arteriogram revealed the site of bleeding from the uterine branch of the right internal iliac artery. The branches of anterior and posterior internal iliac artery were embolized with Gelfoam, Ivalon and coils. This emobolization successfully controlled the bleeding and stabilized the hemodynamic status of the patient. The treatment options in patients with massive pelvic hemorrhage are reviewed and discussed.
一名患有难治性局部晚期复发性宫颈癌的女性因肿瘤导致危及生命的阴道出血被送往急诊室。她出现血流动力学不稳定，需要多次输血和大量液体复苏。动脉造影显示出血部位来自右髂内动脉的子宫分支。用明胶海绵、聚乙烯醇泡沫塑料和弹簧圈栓塞了髂内动脉的前后分支。这次栓塞成功控制了出血并稳定了患者的血流动力学状态。本文回顾并讨论了大量盆腔出血患者的治疗选择。
