[1]艾 敏,刘 丽,卢光明,等.血管内栓塞治疗重症急性胰腺炎并发出血的临床价值 [J].介入放射学杂志,2019,28(03):276-279.
 AI Min,LIU Li,LU Guangming,et al.The clinical value of endovascular embolization in treating severe acute pancreatitis associated with hemorrhage[J].journal interventional radiology,2019,28(03):276-279.
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血管内栓塞治疗重症急性胰腺炎并发出血的临床价值

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年03期
页码:
276-279
栏目:
临床研究
出版日期:
2019-03-25

文章信息/Info

Title:
The clinical value of endovascular embolization in treating severe acute pancreatitis associated with hemorrhage
作者:
艾 敏 刘 丽 卢光明 许 健
Author(s):
AI Min LIU Li LU Guangming XU Jian.
Department of Medical Imaging, Affiliated Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu Province 210002, China
关键词:
【关键词】 出血 血管内栓塞 重症急性胰腺炎
文献标志码:
A
摘要:
【摘要】 目的 探讨急症血管内栓塞治疗重症急性胰腺炎(SAP)并发出血的临床价值。方法 收集2010年至2016年收治的71例SAP患者临床资料,均接受急症DSA造影。其中27例(38.0%)患者接受血管内栓塞治疗。分析所有患者DSA造影表现及27例血管内栓塞结果。结果 动脉造影发现20例(28.2%,20/71)患者动脉破裂出血,7例(9.9%,7/71)假性动脉瘤,共32支责任动脉中11支脾动脉(34.4%,11/32)为主要出血动脉。32次血管内栓塞成功率为93.8%(30/32)。术后栓塞并发症4例,其中2例患者脾梗死,对症治疗后好转,1例肝脓肿和1例脾脓肿,经抗感染及置管引流好转;死亡3例,其中2例因失血性休克,1例因脑干梗死,均与介入操作无关。5例(25%,5/20)复发出血(其中4例出血点不同于初次出血点),二次栓塞均成功止血。结论 血管内造影栓塞可及时发现SAP并发出血患者责任动脉,达到快速止血目的。

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备注/Memo

备注/Memo:
(收稿日期:2018-04-01)
(本文编辑:边 佶)
更新日期/Last Update: 2019-03-20