脊髓动脉破裂和在内镜逆行胆血管细胞造影后的出血:一个病例报告
Zhiqiang Huang1, Yunsheng Qin2
1Department of Hepatobiliary Surgery, Shaoxing Central Hospital, Shaoxing, Zhejiang Province, China.
Medicine
|January 10, 2026
概括
内镜逆行胆血管细胞造影 (ERCP) 很少会导致脏动脉破裂. 数字减去血管学和脏动脉分支栓塞提供了可行的治疗方法,避免了这种罕见并发症的脊髓切除术.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 与已知的并发症,如胰腺炎和出血有关.
- 脏动脉破裂和出血是ERCP后极为罕见的并发症.
研究的目的:
- 在ERCP后报告一个罕见的脏动脉破裂和出血的病例.
- 为管理这种并发症提供临床经验和参考.
主要方法:
- 一名67岁的胰腺头癌患者接受了ERCP.
- 数字减去血管学确定了远距离脏动脉 (短胃动脉) 流血.
- 进行了远距离脏动脉分支栓塞,以控制出血.
主要成果:
- 患者在ERCP期间经历了出血性休克,诊断为脏动脉出血.
- 栓塞成功治疗出血而不需要脊髓切除术.
- 干预后取得了令人满意的结果.
结论:
- 脏动脉出血是ERCP后的一个罕见但关键的并发症.
- 数字减去血管造影和栓塞是有效的治疗选择.
- 临床医生应对ERCP后罕见的骨损伤保持高度怀疑.
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