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已知脾静脉栓塞引起假性动脉瘤和静脉曲张出血是胰腺炎的致死性并发症。本文报道1975～1985年50例胰腺炎血管造影的情况,计女性24例,男性26例,平均年龄50岁(13～75岁)。胰腺炎的病因系酒精性20例,胆结石性9例,特发性8例,外伤性5例,胰腺分离3例,家族性2例,血甘油三酸酯过高、胆总管囊肿和药物引起的各一例。血管造影适应证:术前常规血管造影19例,排除癌肿13例,胃肠道出血或贫血6例,腹痛4例,疑有脾静脉栓塞3例,可疑肠缺血3例,上消化道出血和治疗性栓塞1例,腹部杂音1例。
It is known that splenic embolization caused by pseudoaneurysm and variceal bleeding is a fatal complication of pancreatitis. This article reports from 1975 to 1985 50 cases of pancreatitis angiography, including 24 females, 26 males, mean age 50 years (13 to 75 years old). The etiology of pancreatitis is alcohol 20 cases, gallstones 9 cases, idiopathic 8 cases, traumatic 5 cases, pancreas separation 3 cases, familial 2 cases, triglyceride, choledochal cyst and drugs Cause a case of each. Indications for angiography: Preoperative routine angiography in 19 cases, excluding cancer in 13 cases, gastrointestinal bleeding or anemia in 6 cases, abdominal pain in 4 cases, suspected splenic vein thrombosis in 3 cases, suspicious intestinal ischemia in 3 cases, upper gastrointestinal Bleeding and therapeutic embolism in 1 case, 1 case of abdominal murmur.