婴儿血管瘤是一种良性肿瘤,如并发血小板减少症(称Kasabach—Merritt综合征,K-MS)及充血性心力衰竭则可有致命危险。作者通过导管栓塞术治愈了一例婴儿K-MS合并巨大躯干血管瘤。主动脉IADSA显示为右胸壁血管瘤。血供来自肩胛下动脉、侧胸壁动脉和蔓状的肱动脉。用149～250μ的聚乙稀醇微粒栓塞右肩胛下动脉。血管瘤缩小为9×13×13cm,三周后,血管瘤又增大,血小板减少症复发。用相同材料行第二次右锁骨下动脉栓塞,病情好转,五个月时,K-MS症状复发。用大的微粒(500～1000μ)行第三次右锁骨下动脉栓塞,并在动脉内注入80mg去炎松和16mg地塞米松,同时栓塞右侧胸壁动脉。栓塞后 Infantile hemangioma is a benign tumor, such as concurrent thrombocytopenia (Kasabach-Merritt syndrome, K-MS) and congestive heart failure can have a fatal risk. The author of one case of infant K-MS with massive torso hemangiomas was treated with catheter embolization. Aortic IADSA is shown as right chest wall hemangiomas. Blood supply comes from the subscapular artery, lateral thoracic artery and brachial brachial artery. The right sub-subscapular artery was embolized with 149-250μ polyethylene microparticles. Hemangioma reduced to 9 × 13 × 13cm, three weeks later, hemangioma increased, thrombocytopenia recurrence. With the same material the second right subclavian artery embolization, the condition improved, five months, K-MS symptoms recurrence. The third right subclavian artery embolization was performed with large particles (500-1000 μ) and 80 mg of triamcinolone acetonide and 16 mg of dexamethasone were infused into the artery while the right side of the thoracic artery was occluded. After embolization