| 急诊经皮胃冠状静脉栓塞对门静脉高压性呕血的治疗价值 |
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| 引用本文： | 柴文晓,车明,王江业,郑宁刚.急诊经皮胃冠状静脉栓塞对门静脉高压性呕血的治疗价值[J].当代医学,2009,15(17):267-268. |
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| 作者姓名： | 柴文晓 车明 王江业 郑宁刚 |
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| 作者单位： | 甘肃,730000,甘肃省人民医院肿瘤介入科 |
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| 摘 要： | 目的探讨急诊经皮肝穿刺胃冠状静脉栓塞在治疗肝硬化门静脉高压胃食管曲张静脉破裂出血治疗价值。方法插管于门静脉脾门处，造影证实曲张的胃冠状静脉，以无水乙醇、弹簧圈栓塞。结果10例病人手术成功，术后呕血停止。随访3～18个月，6个月内再出血2例，死亡3例，其中1例死亡原因为上消化道出血，2例为肝功能衰竭。结论急诊经皮胃冠状静脉栓塞是抢救肝硬化门静脉高压胃底食管曲张静脉破裂大出血的有效方法。
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| 关 键 词： | 急诊 肝硬化 门静脉高压 食管胃底静脉曲张 栓塞 呕血 |
Value of acute percutaneous transhepatic embolization of venae coronaria ventriculi in rupture of gastroesophageal varices. |
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| CHAI Wen-Xiao,CHE Ming,WANG Jiang-Ye,ZHENG Ning-gang.Value of acute percutaneous transhepatic embolization of venae coronaria ventriculi in rupture of gastroesophageal varices.[J].Contemporary Medicine,2009,15(17):267-268. |
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| Authors: | CHAI Wen-Xiao CHE Ming WANG Jiang-Ye ZHENG Ning-gang |
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| Affiliation: | (Department of Tumorlntervention, Gansu Provinces Hospital, Lanzhou 730000, China) |
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| Abstract: | Objective To evaluate the value of acute percutaneous transhepatic embolization of venae coronaria ventriculi in vaficeal bleeding. Method Percutaneous transhepatic embolizationof gastroesophageal varices with alcohol and spring coil was performed in 13cases. Results All procedures were successfully done in10 cases. Variceal bleeding stopped after embolization. Follow up3-18 month, recurred was found in 2cases in 6months.3 cases died,one of them died of rebleeding,2 of hepatic function failure. Conclusion Acute transhepatic embolization is a safe and effective treatment for the salvage of gastroesophageal variceal bleeding. |
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| Keywords: | Emergency Hepatic Cirrhosis Portal hypertension Gastroesophageal Varices Embolization Hematemesis |
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