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題名 | 利用血管阻塞術來阻塞左腎動脈之巨大假性動脈瘤--病例報告=Transcatheter Arterial Embolization with Huge Pseudoaneurysm of Left Renal Artery--Case Report |
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作者 | 王傑進; 呂佳玲; 鍾承諺; 陳彥璋; 簡紹南; 蔣咸嘉; | 書刊名 | 中華放射線技術學雜誌 |
卷期 | 35:3 2011.09[民100.09] |
頁次 | 頁163-166 |
分類號 | 416.263 |
關鍵詞 | 假性動脈瘤; 血管阻塞術; 彈簧線圈; Pseudoaneurysm; Transcatheter arterial embolization; Spring coil; |
語文 | 中文(Chinese) |
中文摘要 | 一位79歲男性病人患有糖尿病及高血壓,因肺炎合併敗血症住院,治療期間突發性腹痛造成休克,經128切電腦斷層檢查,顯示左腎動脈處因出血而形成了巨大的假性動脈瘤,緊急施行血管阻塞術治療,治療過程中使用了多個彈簧線圈、栓塞泡棉、及氣球導管等留置於左腎動脈出血處,期望因血流停滯,形成血栓達到止血目的。6天後再次追蹤檢查未如預期止血,此次嘗試利用145㎝的導線外鞘來栓塞,總共使用了三條導線外鞘和19個大小不等的彈簧線圈,終於成功達成阻塞假性動脈瘤之目的。以往腎動脈嚴重出血只能倚靠外科手術來解決,本文提出經驗分享,使用了血管阻塞術成功的治療因腎動脈出血所造成的巨大假性動脈瘤,提供了外科手術另外一個選擇。 |
英文摘要 | We reported our experience in this case, a 79-year-old male patient is suffering from diabetes and hypertension, and is hospitalized due to a combination of pneumonia and sepsis. While under treatment he also experienced abdominal pain caused by sudden shock. The 128-slice computed tomography scan showed that a huge pseudoaneurysm was formed due to breeding in the left renal artery, for this reason, Transcatheter Arterial Embolization was used for emergency purposes. Furthermore, multiple spring coils as well as foam embolization were used in the treatment process, in addition to balloon catheter being placed in the bleeding part on the left renal artery, in the hope that as blood stagnates, blood clots can be formed to stop bleeding. However, a check-up 6 days later found that bleeding had not stopped as expected, so this time we attempted to use the outer sheath of a wire with a length of 145 cm in order to carry out embolization treatment. We used a total of three outer sheath wires and 19 coils of various sizes, where we finally successfully blocked the pseudoaneurysm. In the past, severe bleeding can only be resolved by renal artery surgery, hence, we are herein sharing with you our experiences of using the Transcatheter Arterial Embolization to successfully treating a huge pseudoaneurysm due to bleeding in the renal artery, which is an alternative to surgery. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。