查詢結果分析
來源資料
相關文獻
- Efficacy of Emergent Splenic Artery Embolization in Conservative Treatment of High Grade Splenic Injury
- 泛舟外傷病患的預防及處理
- Unusual Dental Injuries Following Facial Fractures: Report of Three Cases
- Renal Cell Carcinoma Presented as a Traumatic Ruptured Kidney
- Hypothalamic Dysfunction in Acute Head-Injured Patients with Stress Ulcer
- A Review of Ocular Emergencies in a Taiwanese Medical Center
- Laryngeal Injury with Subcutaneous Emphysema: A Case Report
- 嬰幼兒的意外傷害
- 影響機動車事故傷患頭部外傷之相關因素--花蓮市某兩所教學醫院急診傷患為例
- Thoracoscopic Retrieval of Foreign Body after Penetrating Chest Injury: Report of Two Cases
頁籤選單縮合
題 名 | Efficacy of Emergent Splenic Artery Embolization in Conservative Treatment of High Grade Splenic Injury=以緊急脾動脈栓塞作為高度脾外傷的保守治療之效果評估 |
---|---|
作 者 | 廖玉山; 鄭汝汾; 黃棟樑; 尤寶珠; 黃宗正; 陳泰益; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 30:1 2005.02[民94.02] |
頁 次 | 頁1-7 |
分類號 | 416.14 |
關鍵詞 | 脾動脈栓塞術:脾藏; 外傷; Arteries; Therapeutic embolism; Spleen; Injuries; |
語 文 | 英文(English) |
中文摘要 | 為避免脾臟切除後增加感染率,脾外傷時會盡力去保留脾臟,以脾動脈栓塞治療脾臟鈍傷已經被使用來保留脾臟,這個研究的目的是要評估以緊急脾動脈栓塞治療三度以上脾鈍傷的效力。 從2001年1月到2003年1月,共有62位脾臟鈍傷的成人(排除多器官外傷及到院後48小時內死亡的嚴重外傷),以電腦斷層掃瞄評估脾臟受傷的嚴重度及檢測其他器官的傷害情況,為了避免不必要的開刀,我們用coils及gelfoam來處理三度以上脾鈍傷的脾動脈栓塞。 在62位病人中有11位接受脾動脈栓塞(其中有5位三度,5位四度及1位五度脾鈍傷),11位中有9位病患(82%)在脾動脈栓塞後成功的避免開刀,另外2位病人(1位三度及1位五度脾外傷)只能暫時的止血,最後以手術摘除脾臟來治療栓塞後的再出血,11位病人中只有1 位在栓塞後引發脾膿瘍。 我們發現用coils及gelfoam來栓塞脾臟鈍傷後的脾動脈可以保留脾臟功能而且避免手術的風險,在篩選過的病例中成功率很高。 |
英文摘要 | Splenic salvage after trauma has been attempted to avoid lifelong risk for increased susceptibility to infection after splenectomy. Splenic artery emboliza-tion (SAE) for patients with blunt splenic injury has been applied in the protocols of splenic salvage. The purpose of this study was to evaluate the efficacy of emergent splenic artery embolization for patients with grade III or higher grades of blunt splenic injury. From January 2001 to January 2003, 62 adult patients with blunt splenic injuries were included in this study (excluding patients with multiple trauma or those who died of severe trauma within 48 hours after admission). CT scan was performed for grading of the splenic injury and detecting other vis-ceral injury. SAE with coils and gelfoam was per-formed on patients who were grade III, IV, or V splenic injury to avoid unnecessary surgical inter-vention. Eleven of the 62 patients underwent SAE (5 grade III, 5 grade IV and 1 grade V). SAE without surgical intervention was successful in 9 (82%) patients. Transient hemostasis was obtained in the other two of these 11 patients (1 grade III and 1 grade V). Surgical splenectomy had to be performed in treating re-bleeding in these two patients. Only one of our patients developed splenic abscess. Using SAE with coils and gelfoam as a nonsurgial treatment of patients with blunt splenic injury can preserve splenic function and avoid the risk of sur-gical intervention. Success rate was good in selected cases. |
本系統中英文摘要資訊取自各篇刊載內容。