球囊扩张支架术在预防和治疗电烧伤腋动脉出血中的应用

The application of balloon setting in haemorrhage from the axillary artery in electric burn

目的 探讨球囊扩张支架术在预防和治疗电烧伤腋动脉出血中的临床效果.方法 11例上肢电击伤患者,通过行锁骨下动脉造影,显示出血部位或者截肢部位以上的血管,根据管径,选择合适的球囊扩张支架,进行预防和治疗腋动脉出血,观察其对手术安全性、手术时间、出血量的影响.结果 11例患者中,应用球囊扩张支架术治疗腋动脉出血的患者5例,预防腋动脉出血的患者6例,其中1例患者因电击伤非常严重死亡,1例患者术后1月因血管结扎段破裂,再次应用球囊扩张支架术治疗腋动脉出血,其余患者均治愈.平均手术时间（2.0±0.5）h,平均出血量（300±100） ml.结论 球囊扩张支架术在电烧伤腋动脉出血的预防和治疗中有很好的疗效.

Objective To study the clinical application of balloon stentingtreating axillary artery haemorrhagedue to electric burn.Methods All 11 cases had electric burn in upper limp and had balloon stentingtreatment.The operating safety,operation time and blood loss were observed.Results Five cases balloon stentingtreating axillary artery haemorrhage.6 cases used it for preventing haemorrhage.One case died of serious electric burn.Other cases were cured.The operation time was（2.0 ± 0.5）hours.Conclusion Balloon stentingtreating axillary artery haemorrhage is good.