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目的 :小结过去 1 3a采用经导管动脉栓塞术治疗 1 3例动脉性出血的经验。方法 :1 3例患者平均年龄 42 8岁。外伤性出血 7例 ,肿瘤性出血 3例 ,其它原因出血 3例。采用Seldinger技术经股动脉行诊断性血管造影后完成动脉栓塞术。结果 :对 1 7支动脉行栓塞术 ,全部成功。全部患者在术后即刻出血量明显减少 ,生命体征逐渐平稳。对 1 3例患者平均随访 4 5周的结果提示 ,动脉栓塞术治疗外伤性出血的长期效果较好。结论 :对于某些动脉性出血 ,有经验的术者施行经导管动脉栓塞术是一种安全有效的止血手段。
Objective: To summarize the experience of transcatheter arterial embolization in 13 cases of arterial bleeding in the past 13 days. Methods: The average age of 13 patients was 428 years old. Traumatic hemorrhage in 7 cases, 3 cases of neoplastic bleeding, other causes of bleeding in 3 cases. Seldinger technique was used to complete arterial embolization after diagnostic angiography through the femoral artery. Results: A total of 17 arteries were successfully embolized. Immediately after surgery, all patients significantly reduced the amount of bleeding, signs of life gradually stable. The mean follow-up of 43 patients for 13 patients suggests that long-term efficacy of arterial embolization in the treatment of traumatic hemorrhage is better. Conclusions: Transcatheter arterial embolization is a safe and effective hemostasis method for some patients with arterial bleeding.