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目的:探讨介入治疗在外伤导致不明部位出血应用中的价值。方法:依据患者的神志、血压、心率、中心静脉压等指标及血红蛋白、B超等检验/检查结果,对有可疑活动性出血但出血部位不明的患者行紧急动脉造影(CTA)锁定出血部位,以介入技术进行栓塞治疗。结果:8例外伤致不明部位出血的患者,经紧急CTA检查,发现出血的血管有7例(87.5%,7/8);发现出血部位的患者经介入栓塞治疗后均成功止血(100%,7/7)。结论:介入治疗在外伤致不明部位出血中的疗效显著,是临床工作中处理危急重症患者不明部位出血的理想选择。
Objective: To investigate the value of interventional therapy in the application of trauma to unknown parts of hemorrhage. Methods: According to the patient’s consciousness, blood pressure, heart rate, central venous pressure and other indicators and hemoglobin, B ultrasound test / test results, suspected active bleeding but unknown bleeding site in patients underwent emergency angiography (CTA) to lock the bleeding site, Interventional techniques for embolization. Results: Eight patients (87.5%, 7/8) were found to have hemorrhaged blood vessels after emergency CTA examination in 8 patients who had unexplained bleeding. The bleeding sites were successfully hemostatic after interventional embolization (100% 7/7). Conclusion: Interventional therapy has significant curative effect in the bleeding of unknown parts of trauma. It is an ideal choice for the treatment of bleeding in unknown parts of critically ill patients in clinical work.