[治疗腹外伤患者的内血管技术]
V A Tsurkan1, A V Shabunin1,2, D N Grekov1,2
1Botkin Moscow City Clinical Hospital, Moscow, Russia.
Khirurgiia
|August 14, 2024
概括
创伤性腹部损伤,特别是脏和肝脏损伤,可以导致致命的出血. 血管内栓塞为这些严重损伤提供了最少的侵入性治疗选择,改善了器官的保存.
科学领域:
- 创伤外科 手术 创伤外科
- 干预性放射学 干预性放射学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 创伤是劳动年龄人口中死亡和残疾的主要原因.
- 腹部损伤占创伤病例的20-30%,失控出血导致30-40%的死亡.
- 由于其结构和位置,脏经常受伤.
研究的目的:
- 审查动脉内栓塞的现代原则和方法.
- 讨论栓塞在治疗创伤性肝脏和脏损伤中的应用.
主要方法:
- 检查诊断算法,包括临床检查,实验室测试,超声波和增强对比度的CT.
- 讨论干预性放射技术,特别是内血管栓塞.
- 选择性栓塞用于诸如出血,虚假动脉瘤和动脉静脉.
主要成果:
- 在血液动力学稳定的患者中,治疗管理是首选的.
- 血管内栓塞对于管理腹部器官的创伤性血管损伤至关重要.
- 栓塞有助于在严重的肝脏和脏损伤,血或多创伤的情况下保护器官.
结论:
- 增强对比度的CT对于诊断腹部创伤严重程度至关重要.
- 血管内栓塞是创伤性血管损伤复杂治疗的重要组成部分.
- 干预性放射技术,如栓塞,可以改善腹部创伤管理的结果.
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