頁籤選單縮合
題 名 | Spontaneous Perirenal Hemorrhage due to Non-traumatic Renal Artery Pseudoaneurysm Rupture Successfully Treated with Angiographic Embolization=以血管攝影動脈栓塞術成功治療非創傷性腎臟偽動脈瘤破裂導致自發性腎旁出血 |
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作 者 | 邱文智; 萬樹人; 廖美珍; 張運德; 張宏泰; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 22:3 2011.09[民100.09] |
頁 次 | 頁116-123 |
分類號 | 415.74 |
關鍵詞 | 自發性腎旁出血; 選擇性血管攝影動脈栓塞術; Spontaneous perirenal hemorrhage; Selective angiographic embolization; |
語 文 | 英文(English) |
中文摘要 | 自發性腎旁出血是一個不常見但卻可能致死的疾病。在自發性腎旁出血的病因中,腎臟偽動脈瘤破裂很少見而且腎臟創傷是腎臟偽動脈瘤形成的主要原因,非創傷性腎臟偽動脈瘤破裂非常少見,只有少數的病例曾被報告。 部份的病例報告建議使用腎臟切除術來治療腎臟動脈瘤破裂合併大量後腹腔出血且血壓不穩定的病人,我們藉著二個非創傷性腎臟偽動脈瘤破裂導致自發性腎旁出血的病例,提供另一個治療的選擇,我們以微線圈來做選擇性血管攝影動脈栓塞術成功地治療了這二個病人,而且沒有併發症產生。 |
英文摘要 | Spontaneous perirenal hemorrhage is a relatively uncommon but potentially fatal condition. Among the etiologies of spontaneous perirenal hemorrhage, renal pseudoaneurysm rupture is rare, and only a few case reports have been published. Most of these reports assert that total nephrectomy is the best treatment option for patients with unstable blood pressure due to rupture of renal artery aneurysms with massive retroperitonealhemorrhage. We have an alternative option for consideration, as illustrated by two cases of spontaneous perirenal hemorrhage due to nontraumatic renal artery pseudoaneurysm rupture with presentations ofhemoretroperitoneum and shock. We successfully treated both of these patients by selective angiographic embolization with microcoils without complications. |
本系統中英文摘要資訊取自各篇刊載內容。