论文部分内容阅读
本文报道了3年间诊断有活动性腹内动脉出血者18例。男14例,女4例,年龄22～76岁,平均42岁。均作过动态CT检查,口服及静脉注入量为60％含碘造影剂150ml(2～3ml/s,共50ml,1～1.5ml/s,共100ml)。本组病例有5例经选择性血管造影证实,10例经手术证实,另1例尸解证实。结果:11例中经CT显示腹内出血部位为脾出血6例,肝出血3例,肠系膜动脉出血2例。另为腹壁或椎旁肌出血3例,肾旁间隙出血3例,腰大肌出血1例。CT显示活动性动脉出血的14例为大血肿内有局限性高密
This article reports 18 cases of active intra-abdominal arterial bleeding in 3 years. 14 males and 4 females, aged 22 to 76 years, mean 42 years old. All had done dynamic CT examination, oral and intravenous injection of 60% iodine contrast agent 150ml (2 ~ 3ml / s, a total of 50ml, 1 ~ 1.5ml / s, a total of 100ml). This group of patients with 5 cases confirmed by selective angiography, 10 cases confirmed by surgery, and the other 1 case of autopsy confirmed. Results: 11 cases of intra-abdominal hemorrhage by CT showed spleen bleeding in 6 cases, 3 cases of liver hemorrhage, 2 cases of mesenteric artery hemorrhage. The other for the abdominal wall or paraspinal muscle bleeding in 3 cases, 3 cases of perineal space hemorrhage, 1 case of psoas major bleeding. CT showed active arterial bleeding in 14 cases of large hematoma limitations have high density