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球囊导管压迫控制面部大出血:一例报告

Balloon catheter tamponade of exsanguinating facial hemorrhage: a case report.

作者信息

Sing R F, Sue S R, Reilly P M

机构信息

Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina 28203, USA.

出版信息

J Emerg Med. 1998 Jul-Aug;16(4):601-2. doi: 10.1016/s0736-4679(98)00047-x.

Abstract

A 42-year-old man sustained a gunshot wound to the frontal process of the left maxilla just lateral to the nasal bone medial to the maxilla that caused profuse hemorrhage. Anterior and posterior nasal packing along with packing of the gunshot wound with Vaseline gauze did not control the hemorrhage. A 28 French (30-cc balloon) Foley catheter was placed directly into the wound, and bleeding stopped immediately upon inflation of the balloon with 30 cc of sterile water. Arteriography identified bleeding from an anterior branch of the maxillary artery that was successfully embolized.

摘要

一名42岁男性在左上颌骨额突(位于鼻骨外侧、上颌骨内侧)处遭受枪伤,导致大量出血。前后鼻腔填塞以及用凡士林纱布填塞枪伤均未能控制出血。将一根28法式(30毫升球囊)的Foley导管直接置入伤口,向球囊内注入30毫升无菌水后出血立即停止。动脉造影显示出血来自上颌动脉的一支前分支,该分支已成功栓塞。

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