【摘要】 目的 探讨医源性血管损伤的动脉造影表现和栓塞治疗的临床价值。方法 18例因外科手术或介入插管引起的血管损伤患者中15例接受了动脉造影,10例经导管进行了栓塞治疗。结果 15例动脉造影发现对比剂外溢6例,假性动脉瘤6例,动静脉瘘1例,动脉夹层闭塞2例。10例栓塞治疗的患者中7例出血停止,随访期间(2周～1月)内无再出血;1例栓塞后40 h因多器官功能衰竭死亡;2例于栓塞后2 d和9 d出血复发,分别经再次栓塞和外科手术后痊愈。结论 动脉造影对医源性血管损伤的诊断和治疗具有重要的指导意义,动脉栓塞是安全有效的治疗方法。更多还原

【Abstract】 Objective To evaluate the angiographic manifestations and clinical value of therapeutic embolization in iatrogenic vascular injury.Methods 18 cases with vascular injuries caused by surgical process or interventional punction were collected.Arteriogrphy was performed in 15 cases,of which 10 cases underwent therapeutic embolization.Results Extravasation of contrast medium in 6 cases,pseudoaneurysm in 6 cases,arteiovenous fistula in 1 case,and artery dissecting and occlusion in 2 cases were found.The bleeding stopped in 7 patients,and no rebleeding was observed during the 2 weeks～1 month follow-up duration.One patient died 40 hours after embolization due to multiple organ failure.Rebleeding occurred 2 days and 9 days after embolization in 2 cases,one of them was treated by arterial embolization again,and another one was treated by surgical operation.Conclusion In the iatrogenic vascular injury,arteriography is of significant valhe in diagnosis and therapeutic choice,and the artery embolization is effective and safe for treatment.更多还原