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題 名 | 使用經動脈氣球栓塞術治療內頸動脈創傷性剝離所導致之口鼻腔大量出血:一病例報告=Emergency Endovascular Occlusion for Intractable Oronasal Bleeding Due to Traumatic Dissections of ICA--A Case Report |
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作 者 | 夏中慶; 陳冠助; 李國維; 林欣榮; | 書刊名 | 國防醫學 |
卷 期 | 31:6 2000.12[民89.12] |
頁 次 | 頁656-660 |
分類號 | 415.923 |
關鍵詞 | 內頸動脈剝離; 假性動脈瘤; 經動脈氣球栓塞術; ICA dissections; Pseudoaneurysm; Endovascular balloon occlusion; |
語 文 | 中文(Chinese) |
中文摘要 | 病患為四十三歲女性,因車禍導致顱顏部嚴重創傷。於急診室發現大量口腔、鼻及耳道出血,引起出血性休克。因此在初步使用壓迫性止血法無效法,即緊急會診放射部使用腦血管攝影診斷發現右側內頸動脈有一長約四公分之動脈剝離與假性動脈瘤形成,並因血管破裂而有持續性出血。經由放射科緊急使用經動脈氣球全塞術後,得以成功將出血處控制,停止出血,進而挽救病患之生命。內頸動脈創傷性剝離並非常見,然而一旦發生就可能導致血管破裂而大量出血及休克,使用經動脈氣球栓塞術為一有效控制出血且能救命之治療。 |
英文摘要 | This 43-year-old woman was admitted for the traffic accident with severe craniofacial injury. When the massive epistaxis and oral bleeding were found initially and made the patient profound hypovolemic shock. So emergency diagnostic cerebral angiography was performed by the radiologist immediately. Then a 4 cm length dissection with pseudoaneurysm formation and active bleeding site over R't ICA, near high cervical segment and the petrosal segment. A balloon catheter was put into the sheath and across the rupture site of pseudoaneurysm. The active bleeding was then stopped after procedures. Incidence rates for traumatic carotid artery dissections are unavailable, although it has been estimated that traumatic ICA dissections occur in less than 0.1% of hospitalized patient with blunt trauma. Massive intractable oronasal bleeding usually leads to emergency arteriography where an aneurismal origin for the hemorrhage is eventually discovered. Anyway, the present report stresses the use of emergency balloon occlusion of such aneurysms may be a life-saving procedure. |
本系統中英文摘要資訊取自各篇刊載內容。