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頁籤選單縮合
題名 | Emergent Endovascular Treatment of Intractable Head and Neck Hemorrhage=頭頸部頑性出血之緊急栓塞治療 |
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作者 | 許元昱; 林坤榮; 陳啟仁; 黃耀祥; 王俐人; 徐文慶; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 24:5 1999.10[民88.10] |
頁次 | 頁189-194 |
分類號 | 416.21 |
關鍵詞 | 頭頸部出血; 頭頸部血管攝影術; 動脈; 治療性阻斷; Head and neck hemorrhage; Head and neck angiography; Arteries therapeutic blockade; |
語文 | 英文(English) |
中文摘要 | 近三年來,我們一共為698位病患進行緊急的血管攝影術,其中有11位是頭頸部頑性出血的病患。其出血的原因有6位是顱顏外傷引起,2位是顱顏手術後出血,2位是末期鼻咽癌所致,1位是拔牙造成動靜脈畸形出血。外頸動脈受傷形成假動脈瘤,是血管攝影最常見的發現。受侵害的血管以內動脈為最多,其餘包括淺顳動脈,顏動脈和舌動脈。其中10位病患的頑性出血,經緊急的血管內栓塞治療,可以成功地完全止血。只有3位病患發生若干口腔潰爛,此外無任何併發症。進行栓塞治療必須根據不同病灶選擇適當的栓塞物,包括金屬線圈,固體顆粒和液體黏膠等。我們的經驗顯示,緊急的血管內栓塞對於頭頸部頑性出血,是個相當安全而且有效的治療方法。 |
英文摘要 | During the last 3 years, 11 patients with intractable head and neck hemorrhage (6 craniofacial injuries, 2 surgical complications, 2 nasopharyngeal carcinomas, and 1 mandibular arteriovenous malformation) were sent to our angiographic suite for emergency management. Arterial disruption with pseudoaneurysm formation was the most common angiographic finding. The arteries responsible for active bleeding included internal maxillary artery (most common), superficial temporal artery, facial artery, and lingual artery. Microcoils, particles, and liquid adhesives were used, separately or in combination, to achieve hemostasis successfully in 10 patients. No major complications related to the procedure occurred. Diagnostic angiography and therapeutic embolization can be performed promptly and effectively to treat patients with life-threatening hemorrhage in the head and neck region. |
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