[1]王 华,于晓河,刘 学,等.胆胰术后迟发性出血介入治疗[J].介入放射学杂志,2020,29(12):1227-1231.
WANG Hua,YU Xiaohe,LIU Xue,et al.Interventional treatment for delayed postoperative hemorrhage after biliary and pancreatic surgery[J].journal interventional radiology,2020,29(12):1227-1231.
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胆胰术后迟发性出血介入治疗(
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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29
- 期数:
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2020年12
- 页码:
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1227-1231
- 栏目:
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临床研究
- 出版日期:
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2020-12-25
文章信息/Info
- Title:
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Interventional treatment for delayed postoperative hemorrhage after biliary and pancreatic surgery
- 作者:
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王 华; 于晓河; 刘 学; 张一军; 朱俊军; 葛乃建; 杨业发
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- Author(s):
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WANG Hua; YU Xiaohe; LIU Xue; ZHANG Yijun; ZHU Junjun; GE Naijian; YANG Yefa.
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Section I, Department of Intervention, Oriental Hepatobiliary Surgery Hospital, Naval Military Medical University, Shanghai 201800, China
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- 关键词:
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【关键词】 胆胰外科; 迟发性出血; 介入治疗
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨胆胰术后迟发性出血介入治疗方法、技术和效果。方法 总结海军军医大学东方肝胆外科医院2016年7月至2019年6月期间采用血管内介入术治疗74例胆胰外科术后迟发性出血患者的经验,对比不同介入治疗方法的效果,分析影响患者死亡的因素。结果 74例患者首次血管造影阳性率为90.5%(67/74),血管内介入治疗成功率为98.6%(73/74),死亡率为29.7%(22/74)。死亡主要原因为再出血15例(20.3%)、肝衰竭4例(5.4%)、感染2例(2.7%)、介入操作不成功1例(1.4%)。不同疾病诊断和手术方式间死亡率差异有统计学意义(P<0.05),肝门胆管癌患者死亡率较高。出血类型、出血动脉对术后迟发性出血患者死亡率均无明显影响(P>0.05)。非出血性并发症显著增加患者死亡率(P<0.001)。再出血患者死亡率显著高于无再出血患者(65.2%对12.0%,P<0.001)。覆膜支架植入患者死亡率(26.5%)低于栓塞治疗患者(30.8%),但差异无统计学意义(P>0.05)。 结论 血管内介入术是治疗胆胰术后迟发性出血的有效方法。需合理选择覆膜支架和栓塞方法。减少术后并发症、降低再出血是控制胆胰术后迟发性出血死亡率的关键。
参考文献/References:
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备注/Memo
- 备注/Memo:
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(收稿日期:2019- 09- 25)
(本文编辑:边 佶)
更新日期/Last Update:
2020-12-16