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作者检查20例肝损伤和7例脾损伤,其中有2侧肝牌同时损伤。男性23例,女性4例。年龄15～50岁。入院时情况尚好13例,其余有休克症状,包括Ⅲ～Ⅳ级休克10例。血管造影前初步诊断肝损伤4例、脾损伤2例,怀疑肝脾损伤12例;因各种原因手术后作血管造影9例。起初进行腹主动脉造影15例,以后选择性血管干造影16例,有3例必须作肠系膜上动脉造影,有2例补充作肝静脉造影。选择性动脉造影,力求得到造影剂循环的动脉期、实质期和静脉期的显影。
The authors examined 20 cases of hepatic injury and 7 cases of splenic injury, with 2-sided liver damage at the same time. 23 males and 4 females. Aged 15 to 50 years old. On admission, the situation is still good in 13 cases, the rest with shock symptoms, including Ⅲ ~ Ⅳ grade shock in 10 cases. Initial diagnosis of liver injury in angiography in 4 cases, 2 cases of splenic injury, suspected liver and spleen injury in 12 cases; for various reasons after angiography in 9 cases. Initially, 15 cases of abdominal aortography, after selective angiography in 16 cases, 3 cases must be made on the superior mesenteric artery angiography, 2 cases added for hepatic venography. Selective arterial angiography, trying to get the contrast medium cycle arterial phase, parenchyma and venous phase of the development.