杨德久,陈俊卯,张万壮,李素新,田素红.介入动脉栓塞治疗顽固性鼻出血[J].中国介入影像与治疗学,2006,3(1):39-41
介入动脉栓塞治疗顽固性鼻出血
Interventional artery infarction therapy for stubborn rhinorrhagia
投稿时间:2005-10-06  修订日期:2005-12-07
DOI:
中文关键词:  鼻出血  介入治疗  数字减影血管造影  动脉栓塞
英文关键词:Nasal bleeding  Interventional therapy  Digital subtraction angiography  Artery infarction
基金项目:
作者单位
杨德久 华北煤炭医学院附属医院介入科,河北唐山 063000 
陈俊卯 华北煤炭医学院附属医院介入科,河北唐山 063000 
张万壮 华北煤炭医学院附属医院介入科,河北唐山 063000 
李素新 华北煤炭医学院附属医院介入科,河北唐山 063000 
田素红 华北煤炭医学院附属医院介入科,河北唐山 063000 
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中文摘要:
      目的 探讨鼻出血介入治疗的临床效果、并发症及注意事项。方法 采用介入治疗技术及数字减影血管造影(DSA)技术,对64例顽固性鼻出血患者进行超选择性上颌动脉和/或面动脉栓塞。结果 60例患者达到立即止血目的,4例因合并筛动脉出血,栓塞后再经筛动脉结扎,出血得到控制,1例患者于栓塞后40分钟患侧视力逐渐丧失,8 h后经眼动脉溶栓治疗,眼动脉恢复血运,但视力未恢复。结论 在数字减影技术和介入治疗技术下,对顽固性鼻出血进行超选择性动脉栓塞是有效、快捷的止血方法,但对由筛前、筛后动脉所致的鼻出血应配合动脉结扎手术,并注意眼动脉血栓形成的可能。
英文摘要:
      Objective To evaluate the clinical effect of interventional therapy for rhinorrhagia and its complications as well as concerning precautions. Methods Intervention and digital subtraction angiography (DSA) techniques were applied to treat 64 cases of stubborn rhinorrhagia by using super optional infarction in the jaw and/or face artery. Results The treatment resulted in immediate hemostasis for 60 cases; in 4 cases, complication of artery hemorrhage before screening occurred and the hemorrhage was controlled after a secondary ligation of the artery posterior to infarction. One patient suffered from gradual side-visual loss 40 minutes posterior to infarction, and 8 hours later, infarction-melting therapy in the eye artery was performed, resulting in restoration of blood circulation in eye artery but without any effect of sight recovery. Conclusion DSA and intervention therapeutic techniques are effective in hemostasis in the treatment of stubborn rhinorrhagia through super optional artery infarction. However, for nasal bleeding due to artery-screening before and after, artery ligation should be performed and attention must be paid to the possibility of thrombosis in the eye artery.
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