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孤立性回结肠动静脉畸形:用海绵栓子和丝线进行治疗性栓塞

Solitary ileocolic arteriovenous malformation: spongostan and silk therapeutic embolisation.

作者信息

Alcalde M, Jiménez G, Díaz P, García-Díaz M, Pascasio J M, Moro R, Zapata J, López-Santamaría A

机构信息

Department of Gastroenterology, Infanta Cristina University Hospital of Badajox, Spain.

出版信息

Postgrad Med J. 1997 May;73(859):295-6. doi: 10.1136/pgmj.73.859.295.

DOI:10.1136/pgmj.73.859.295
PMID:9196704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2431309/
Abstract

A debilitated patient with liver cirrhosis and poor haemostasis had a severe lower gastrointestinal haemorrhage. A superior mesenteric arteriogram revealed an early persistent and promiment draining vein in the ileocolic artery. Two fragments of Spongostan and silk were used to embolise the bleeding artery and the haemorhage ceased immediately. No infarction of the embolised area was observed and the bleeding was controlled.

摘要

一名患有肝硬化且凝血功能差的虚弱患者发生了严重的下消化道出血。肠系膜上动脉造影显示回结肠动脉有一条早期持续且突出的引流静脉。使用两片明胶海绵和丝线栓塞出血动脉,出血立即停止。未观察到栓塞区域发生梗死,出血得到控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ab/2431309/8b745e77ce6b/postmedj00149-0041-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ab/2431309/81292f770899/postmedj00149-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ab/2431309/8b745e77ce6b/postmedj00149-0041-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ab/2431309/81292f770899/postmedj00149-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ab/2431309/8b745e77ce6b/postmedj00149-0041-b.jpg

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本文引用的文献

1
Massive hemorrhage in the lower gastrointestinal tract in adults: diagnostic imaging and intervention.成人下消化道大出血:诊断性影像学检查与干预措施
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Radiology. 1984 Aug;152(2):377-82. doi: 10.1148/radiology.152.2.6610888.
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Solitary ileal arteriovenous malformation: preoperative localization by coil embolization.孤立性回肠动静脉畸形:通过弹簧圈栓塞术进行术前定位
AJR Am J Roentgenol. 1986 Apr;146(4):787-8. doi: 10.2214/ajr.146.4.787.
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Angiodysplasia: characterization, diagnosis, and advances in treatment.血管发育异常:特征、诊断及治疗进展
South Med J. 1990 Dec;83(12):1450-3.