2011China Modern MedicineRequires access

Efficacy analysis of 32 cases artery hemorrhagic disease intervention treatment

Kang Chaowen

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Abstract

Objective:To investigate the value of intervenient arterial transcatheter embolization used in the patients with the acute arterial bleeding.Methods:Selectived angiography under the DSA,made sure the bleeding sites and embolization treatment of them with absorbable gelatin sponge,embolization particles,thread segments,micro-coil,wreath of spring embolish in 32 cases.Results:Thirty cases in thirty-two patients of artery bleeding were performed angiography,then treated by arterial embolization with absorbable gelatin sponge or wreath of spring,they stopped bleeding immediately.There was one case in which bleed again in one and two months later;one case among them was intra-arterial infusion of vasopressin,then bleeding stopped.We also found there was existing the extravasation of the contrast agent in one case,but the blood vessels were too small and distorted into an acute angle,we could't use micro-catheter embolization,then changed to open surgery.All embolization patients didn't have serious complications,only 1 case of them had appeared abdominal pain,and the symptoms was disappeared after conservative treatment.Conclusion:Interventional therapy has the advantages of less trauma,stopping the bleeding quickly,little reaction and fewer complications after the operations,faster recovery and repeatability of operation,it is worth widely using in clinical.

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Objective:To investigate the value of intervenient arterial transcatheter embolization used in the patients with the acute arterial bleeding.Methods:Selectived angiography under the DSA,made sure the bleeding sites and embolization treatment of them with absorbable gelatin sponge,embolization particles,thread segments,micro-coil,wreath of spring embolish in 32 cases.Results:Thirty cases in thirty-two patients of artery bleeding were performed angiography,then treated by arterial embolization with absorbable gelatin sponge or wreath of spring,they stopped bleeding immediately.There was one case in which bleed again in one and two months later;one case among them was intra-arterial infusion of vasopressin,then bleeding stopped.We also found there was existing the extravasation of the contrast agent in one case,but the blood vessels were too small and distorted into an acute angle,we could't use micro-catheter embolization,then changed to open surgery.All embolization patients didn't have serious complications,only 1 case of them had appeared abdominal pain,and the symptoms was disappeared after conservative treatment.Conclusion:Interventional therapy has the advantages of less trauma,stopping the bleeding quickly,little reaction and fewer complications after the operations,faster recovery and repeatability of operation,it is worth widely using in clinical.

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Available abstract

Objective:To investigate the value of intervenient arterial transcatheter embolization used in the patients with the acute arterial bleeding.Methods:Selectived angiography under the DSA,made sure the bleeding sites and embolization treatment of them with absorbable gelatin sponge,embolization particles,thread segments,micro-coil,wreath of spring embolish in 32 cases.Results:Thirty cases in thirty-two patients of artery bleeding were performed angiography,then treated by arterial embolization with absorbable gelatin sponge or wreath of spring,they stopped bleeding immediately.There was one case in which bleed again in one and two months later;one case among them was intra-arterial infusion of vasopressin,then bleeding stopped.We also found there was existing the extravasation of the contrast agent in one case,but the blood vessels were too small and distorted into an acute angle,we could't use micro-catheter embolization,then changed to open surgery.All embolization patients didn't have serious complications,only 1 case of them had appeared abdominal pain,and the symptoms was disappeared after conservative treatment.Conclusion:Interventional therapy has the advantages of less trauma,stopping the bleeding quickly,little reaction and fewer complications after the operations,faster recovery and repeatability of operation,it is worth widely using in clinical.

Key concepts: Medicine, Embolization, Surgery, Angiography, Arterial Embolization, Gelatin sponge, Radiology, Hematoma

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