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脾动脉栓塞后上消化道出血分析

Analysis of Upper Digestive Tract Hemorrhage after Splenic Artery Embolization

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【作者】 张文伟刘建平

【Author】 ZHANG Wen-wei,LIU Jian-ping.Department of Radiology,the No.5 Affiliated Hospital of Wenzhou Medical College Lishui,Zhejiang 32300,P.R.China

【机构】 温州医学院附属第五医院放射科温州医学院附属第五医院放射科 323000浙江323000浙江

【摘要】 目的探讨脾动脉栓塞后上消化道出血的可能原因。方法对43例肝癌合并肝硬化门脉高压患者采用肝动脉化疗栓塞及脾动脉栓塞,脾实质栓塞面积为30%~60%左右。结果7例患者栓塞后在1~3d出现上消化道出血,均为轻度。结论脾动脉栓塞能有效的降低门脉压力,缓解脾功能亢进。但在少数情况下可能导致上消化道出血。

【Abstract】 Objective:To explore the causes of upper digestive tract hemorrhage after splenic artery embolization.Methods:43 patients underwent transcatheter arterial chemoembolization and partely splenic artery embolization for hepatic carcinoma with hepatic cirrhosis and portal venous hypertension.The extent of splenic embolization was 30%~60%.Resultes:7 cases developed symptoms of upper digestive tract hemorrhage 1~3 days after the procedure,The degree of hemorrhage was mild in most of cases.Conclusion:Splenic artery embolization can effectively relieve the portal venous hypertension.But in some cases it can lead to upper digestive tract hemorrhage.

  • 【文献出处】 放射学实践 ,Radiologic Practice , 编辑部邮箱 ,2005年05期
  • 【分类号】R735.7
  • 【下载频次】61
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