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作者报道2例TIPS致肝动脉损伤并讨论其原因、处理和结果。 例1,67岁,女,因原因不明ChildS A级肝硬化致静脉曲张出血入院,患者有糖尿病、冠心病、心力衰竭等病史。实验室检查:凝血酶原时间16.8s,天门冬氨转氨酶65U/L,丙氨转氨酶53U/L,总胆红素1.0mg/dl。内窥镜见严重食管静脉曲张。经颈内静脉作肝右静脉插管。用16G Cola-Pinto针经管鞘作门脉右支穿刺。第三次穿刺时穿
The authors reported two TIPS-induced hepatic arterial lesions and discussed the causes, treatments and outcomes. Case 1,67, female, unknown cause of ChildS Class A liver cirrhosis caused by variceal bleeding hospitalized patients with diabetes, coronary heart disease, heart failure and other medical history. Laboratory tests: prothrombin time 16.8s, aspartate aminotransferase 65U / L, alanine aminotransferase 53U / L, total bilirubin 1.0mg / dl. Endoscopic see serious esophageal varices. Via the internal jugular vein for right hepatic vein catheterization. Use 16G Cola-Pinto needle sheath for right portal vein puncture. The third puncture wear