血管内介入在急诊脏器出血诊断与治疗中的应用

Application of intravascular interventional therapy in emergency hemorrhage

目的探讨介入治疗在出血急救中的临床应用。方法 32例急诊脏器出血患者均采用右侧股动脉穿刺入路,先行数字减影血管造影(DSA)检查,找出责任血管,实施栓塞术,闭塞出血动脉,阻断出血来源,术后注意观察生命体征。结果 32例急诊脏器出血患者血管内介入后均明确诊断,急诊介入治疗后血压逐步回升平稳[(90～120)/(60～90)mmHg],未出现严重的栓塞并发症。结论利用介入治疗手段是治疗内脏出血和盆腔外伤导致闭合性血管损伤出血,救治生命的一个快捷、合理的选择。

Objective To evaluate the clinical application of intravascular interventional therapy in emergency hemorrhage. Methods Thirty-two patients were involved in this study. The mean age of the patients was 37 years old （ range ： 16-55 ） , and there were 23 male and 9 female. Their blood pressure at the time before the interventional therapy ranged from 50-100 mmHg/20 - 60 mmHg. For all cases, right femoral artery digital subtraction angiography（DSA） was first performed to search the ruptured blood vessels. Then, intravascular embolization was performed. After operation, life physical signs were carefully observed. Results All 32 patients had a definitive diagnosis for causes of hemorrhage. After treatment, patients＇ blood pressure rose progressively and became stability [（ 90 - 120） mmHg/（ 60 -90） mmHg] , and no serious complications were observed. Conclusions The iutravaseular interventional treatment is a rapid and reasonable selection to treat hemorrhage caused by visceral disorder and pelvic fracture.