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为探讨介入疗法在急症患者救治中的疗效 ,对 4 2例患者 ,包括大咯血 6例 ,肾外伤破裂 2例 ,颈动脉海绵窦瘘 10例 ,股动脉及胫动脉血栓 2例 ,颈部外伤性动静脉瘘 1例及消化道大出血 2 1例。分别采用栓塞术、溶栓术及分流术治疗。结果发现栓塞后咯血停止 ,肾破裂者出血停止 ,颈动脉海绵窦瘘及肾破裂者出血停止 ,颈动脉海绵窦瘘及动静脉瘘者瘘口分流消失。溶栓后股动脉及胫动脉血栓消失。分流术后门脉压力下降 ,由3 7～ 4 1kPa降至 2 4～ 2 7kPa ,消化道出血停止。说明介入疗法用于急症救治迅速有效 ,疗效可靠 ,值得推广。
In order to explore the curative effect of interventional therapy in the treatment of acute patients, 42 patients, including 6 cases of massive hemoptysis, 2 cases of rupture of renal trauma, 10 cases of carotid cavernous fistula, 2 cases of femoral artery and tibia artery thrombosis, neck trauma 1 case of arteriovenous fistula and 21 cases of gastrointestinal bleeding. Respectively embolization, thrombolysis and shunt treatment. Hemoptysis stopped after embolization, renal bleeding rupture stopped, carotid cavernous fistula and renal rupture bleeding stopped, carotid cavernous fistula and arteriovenous fistula shunt disappeared. Thrombosis of femoral and tibial artery disappeared after thrombolysis. Portal pressure decreased after shunt, from 3 7 ~ 4 1kPa down to 24 ~ 27kPa, gastrointestinal bleeding stopped. Interventional therapy shows that the rapid and effective emergency treatment, effective and worthy of promotion.