[1]李 臻,余 鹏,李 鑫,等.挽救性介入治疗头颈部难治性出血[J].介入放射学杂志,2023,32(07):632-637.
 LI Zhen,YU Peng,LI Xin,et al.Salvage intervention for refractory bleeding at the head and neck region[J].journal interventional radiology,2023,32(07):632-637.
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挽救性介入治疗头颈部难治性出血()

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

卷:
32
期数:
2023年07
页码:
632-637
栏目:
血管介入
出版日期:
2023-07-31

文章信息/Info

Title:
Salvage intervention for refractory bleeding at the head and neck region
作者:
李 臻 余 鹏 李 鑫 李腾飞 王若愚 周朋利 叶书文 周纪妹 王 玲 谢炳灿 于 琦
Author(s):
LI Zhen YU Peng LI Xin LI Tengfei WANG Ruoyu ZHOU Pengli YE Shuwen ZHOU Jimei WANG Ling XIE Bingcan YU Qi.
Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 头颈部出血 肿瘤 血管畸形 介入治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨急诊介入治疗头颈部难治性出血的可行性、安全性及疗效。方法 回顾性总结2016年4月至2021年4月郑州大学第一附属医院介入科收治的86例头颈部难治性出血患者临床资料,男62例、女24例,年龄12~79岁,平均(53.7±15.0)岁。患者均因保守治疗效果差而转行介入治疗。分析患者临床资料、有效止血率、临床成功止血率、住院期间再出血和离院复发原因及并发症。结果 急诊介入治疗有效止血率为96%(83/86),临床成功止血率为91%(79/86),住院期间再出血6例,离院复发12例。术后24 h内几乎所有患者均出现不同程度的口腔颌面部轻微疼痛、肿胀或皮肤色泽改变等栓塞后综合征。1例术后6 h发生右侧大面积脑梗死。随访(3~24个月)期间,7例因再发大出血而死亡,21例因肿瘤进展死亡。结论 介入治疗头颈部难治性出血疗效确切,技术安全、可行,并发症少,能挽救患者生命。

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备注/Memo

备注/Memo:
(收稿日期:2022- 04- 25)
(本文编辑:茹 实)
更新日期/Last Update: 2023-07-31