论文部分内容阅读
本文报告自1983年以来,在该院施行的上腹部手术病人中,有6例(占同期同类手术的0.44%)胆道、肝脏、十二脂肠等部位术后,近期经引流管或胆道大出血,采用选择性腹腔动脉造影术,证实均为手术区域内动脉瘤形成并破裂而致出血。采用明胶海棉超选择动脉栓塞术后,5例出血立即停止。结合文献分析,动脉瘤形成的病因以医源性动脉损伤所致可能性最大。
This article reports that since 1983, 6 patients (0.44% of the same type of surgery in the same period) in the upper abdominal surgery performed in this hospital have been treated with biliary tract, liver, and duodenal site, and recent drainage tube or Bleeding of the biliary tract, using selective celiac arteriography, confirmed intraoperative aneurysm formation and rupture caused by bleeding. After superselective arterial embolization with gelatin sponge, bleeding was stopped immediately in 5 cases. Combined with literature analysis, the etiology of aneurysm formation is most likely due to iatrogenic arterial injury.