EXPANDING ROLE OF EMERGENCY EMBOLIZATION IN THE MANAGEMENT OF SEVERE BLUNT HEPATIC-TRAUMA

被引:14
作者
HASHIMOTO, S
HIRAMATSU, K
IDO, K
YOSII, H
MOTEGI, M
YAMAMOTO, S
机构
[1] Department of Diagnostic Radiology, School of Medicine, Keio University, Tokyo, 160, 35 Shinanomachi, Shinjuku-ku
[2] Department of Surgery, Saiseikai Kanagawaken Hospital, Kanagawa
关键词
Duodenal perforation; traumatic; Embolization; arterial; Epinephrine; Hemorrhage; posttraumatic; Hepatic trauma; blunt; Hypovolemic shock;
D O I
10.1007/BF02575473
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Emergency embolization using Gelfoam particles alone, or in combination with stainless steel coils or epinephrine, was attempted in 4 patients with severe blunt hepatic trauma complicated by hypovolemic shock to control exsanguinating hemorrhage. Angiography prior to embolization revealed extravasation in all cases. None of the patients rebled or required further intervention. Postembolization course was uneventful in each case. Embolization could become the treatment of choice for more unstable and complicated patients than previously considered. © 1990 Springer-Verlag New York Inc.
引用
收藏
页码:193 / 199
页数:7
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