[治疗腹部钝挫伤患者的血管内技术]。

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia2024081108
V A Tsurkan, A V Shabunin, D N Grekov, V V Bedin, A V Arablinskiy, L A Yakimov, D V Shikov, A A Ageeva
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引用次数: 0

摘要

外伤是导致劳动适龄人口残疾和死亡的主要原因之一。腹部损伤占创伤的 20-30%。无法控制的出血是 30-40% 患者死亡的主要原因。在腹部器官中,脾脏因结构脆弱和位于肋下而最常受损。近二十年来,对于腹部创伤且血流动力学参数稳定的患者,治疗方法已成为首选。除临床检查外,标准实验室检查和超声检查以及腹部对比增强 CT 也应纳入诊断算法,以识别所有创伤并评估腹部损伤的严重程度。介入放射学技术的发展改善了受损器官的保存。血管内栓塞术可根据适应症(渗漏、假性动脉瘤、动静脉吻合术)有选择地进行,肝脏和脾脏严重受损、腹腔积血或严重多发性创伤时可考虑进行血管内栓塞术。栓塞是腹部实质器官外伤性血管损伤的复杂治疗中必不可少的手段。我们回顾了治疗肝脾外伤患者的现代动脉内栓塞原理和方法。
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[Endovascular technologies in the treatment of patients with blunt abdominal trauma].

Trauma is one of the leading causes of disability and mortality in working-age population. Abdominal injuries comprise 20-30% of traumas. Uncontrolled bleeding is the main cause of death in 30-40% of patients. Among abdominal organs, spleen is most often damaged due to fragile structure and subcostal localization. In the last two decades, therapeutic management has become preferable in patients with abdominal trauma and stable hemodynamic parameters. In addition to clinical examination, standard laboratory tests and ultrasound, as well as contrast-enhanced CT of the abdomen should be included in diagnostic algorithm to identify all traumatic injuries and assess severity of abdominal damage. Development of interventional radiological technologies improved preservation of damaged organs. Endovascular embolization can be performed selectively according to indications (leakage, false aneurysm, arteriovenous anastomosis) and considered for severe damage to the liver and spleen, hemoperitoneum or severe polytrauma. Embolization is essential in complex treatment of traumatic vascular injuries of parenchymal abdominal organs. We reviewed modern principles and methods of intra-arterial embolization for the treatment of patients with traumatic injuries of the liver and spleen.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
期刊最新文献
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