Wagner J, Messmer P, Herzog U, Pippert H, Harder F, von Flüe M
Departement für Chirurgie, Universitätsklinik Basel.
Chirurg. 1998 Jan;69(1):48-54. doi: 10.1007/s001040050372.
Acute hemorrhage from pseudocysts and pseudoaneurysms is a threatening complication of chronic pancreatitis. Whilst surgical intervention still has high perioperative mortality (16.8%), transcatheter arterial embolization is becoming more frequently used for suitable cases and appears to have lower mortality (6.1%). We report on six patients treated in our unit. Four of them underwent primary surgical treatment, the other two were treated by embolisation. One of the latter patients subsequently required laparotomy for further treatment. All six patients survived. Comparing the literature covering the periods between 1951 and 1981 and between 1982 and 1996, transcatheter embolisation seems to be valuable in controlling this type of bleeding, thereby reducing mortality.
假性囊肿和假性动脉瘤引起的急性出血是慢性胰腺炎的一种严重并发症。虽然手术干预的围手术期死亡率仍然很高（16.8%），但经导管动脉栓塞术在合适的病例中使用越来越频繁，且死亡率似乎较低（6.1%）。我们报告了在我们科室接受治疗的6例患者。其中4例接受了一期手术治疗，另外2例接受了栓塞治疗。后2例患者中有1例随后需要剖腹手术进行进一步治疗。所有6例患者均存活。比较1951年至1981年以及1982年至1996年期间的文献，经导管栓塞术在控制这类出血方面似乎很有价值，从而降低了死亡率。
