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目的 :探讨前列腺增生症 ( BPH)术后大出血及膀胱癌并发不可控制大出血的防治方法。方法 :采取 Seldinger和选择性插管技术 ,对 8例 BPH术后大出血及 15例膀胱癌 (均经病理检查证实 )并发不可控制大出血患者进行双侧髂内动脉有关供血支的介入栓塞治疗。结果 :经栓塞治疗 ,8例 BPH患者术后大出血立即得到控制 ,48h后尿液转清 ,15例膀胱癌并发大出血患者中有 14例大出血立即得到控制 ,1例出血明显减少 ,经保守治疗后亦不再出血。结论 :对于 BPH术后大出血和膀胱癌并发大出血患者 ,在保守治疗无效的情况下采取介入栓塞治疗是一种安全、可靠地控制大出血的有效方法。
Objective: To investigate the prevention and treatment of postoperative bleeding and bladder cancer complicated with uncontrollable hemorrhage in patients with benign prostatic hyperplasia (BPH). Methods: The Seldinger and selective intubation techniques were used to treat bilateral bleeding related branches of internal iliac arteries in 8 cases of postoperative bleeding due to BPH and 15 cases of bladder cancer (confirmed by pathological examination) complicated with uncontrollable hemorrhage. Results: After embolization, 8 cases of BPH patients were treated with immediate postoperative haemorrhage. Urine was cleared after 48 hours. 14 cases of hemorrhage in 15 cases of bladder cancer complicated with hemorrhage were immediately controlled and 1 case of bleeding was significantly reduced. After conservative treatment No longer bleeding. CONCLUSION: Interventional embolization is a safe and reliable method of controlling major bleeding in patients with major bleeding after hemorrhage and bladder cancer complicated with major hemorrhage.