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为探讨肾动脉栓塞术在肾外伤性出血中的应用价值,对外伤性肾出血18例采用选择性肾动脉造影或DSA检查,超选插管至肾动脉Ⅱ级血管区,采用自体凝血块或明胶海绵粒(直径约1mm),与造影剂(76%泛影葡胺或优维显300)混合后,在电视透视下分次推注,直至造影证明栓塞满意为止。18例栓塞后大量血尿立即得到控制,24h后尿液转清,6~12天尿化验转为正常。远期随访12例,平均随访41个月,未见出血复发,肾功能和血压正常。该方法止血效果肯定,操作简便,无特殊并发症,值得推广应用。
In order to explore the value of renal artery embolization in the treatment of renal traumatic hemorrhage, 18 cases of traumatic renal hemorrhage were treated with selective renal artery angiography or DSA. Gelatin sponge (diameter about 1mm), and contrast media (76% meglumine diatrizoate or Youvex 300) mixed, under the TV fluoroscopy bolus until angiography embolization proved satisfactory. Eighteen cases of hematuria immediately after embolization were controlled immediately after 24h urinary clearance, 6 to 12 days urine test turned normal. Long-term follow-up of 12 cases, with an average follow-up of 41 months, no recurrence of bleeding, renal function and normal blood pressure. The hemostatic effect of the method affirmed, easy to operate, no special complications, it is worth promoting the application.