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作者报道6例难治性鼻出血的超选择性动脉栓塞。男4,女2,54～75岁。半数伴有高血压,1例伴有偏瘫。6例患者均为颈外动脉分支-上颌动脉所致的鼻腔后部出血。5例采用 Seldinger氏法经股动脉插管,伴有偏瘫的1例采用切开皮肤,颞浅动脉插管;导管尖端均起选至脑膜中动脉起始后的上颌动脉内;栓塞剂用钢圈加1×1×1mm的明胶海绵碎片,先将钢圈送入数枚,血流明显减弱后再经导管推送明胶海绵直至血流完全阻断。栓塞后鼻出血立即停止,随访1～23个月均无复发。认为该方法无外科性创伤,能直接发现颈外动脉血管异常及出血点,手术后患者也可实施,能选择性阻
The authors report 6 cases of refractory epistaxis with hyper-selective arterial embolism. Male 4, female 2,54 to 75 years old. Half with hypertension, 1 case with hemiplegia. Six patients were all external carotid branch - the maxillary artery posterior nasal bleeding. 5 cases of Seldinger’s method of femoral artery catheterization, hemiplegia with a case of cut the skin, the superficial temporal artery catheterization; catheter tip were initiated to the middle of the middle meningeal artery after the start of the artery; embolic agent steel Circle plus 1 × 1 × 1mm gelatin sponge fragments, the first ring into the several pieces of blood flow was significantly reduced and then pushed through the catheter gelatin sponge until the blood flow completely blocked. Embolism immediately stop bleeding, follow-up 1 to 23 months without recurrence. That the method without surgical trauma, can be directly found in external carotid artery anomalies and bleeding, patients can also be implemented after surgery, can selectively block