部分脾栓塞術后發(fā)熱機理及其處理(1)
![]() |
| 第1頁 |
參見附件(411KB,3頁)。
【摘要】 目的 探討部分脾動脈栓塞術后發(fā)熱的發(fā)生原因及處理辦法。方法 23例脾功能亢進,均為肝硬化門脈高壓合并脾亢者,術前Child - Pugh分級A級3例,B級12例,C級8例,23例均有一種或多種以上血細胞減少。采取經(jīng)股動脈穿刺插管行部分脾動脈栓塞術(PSE),栓塞材料為明膠海綿,術后定期復查血常規(guī)、肝功能、血尿淀粉酶、彩超,隨診2個月~1年。結果 本組病例PSE術后均出現(xiàn)不同程度的發(fā)熱,術后發(fā)熱及其嚴重程度與病例選擇、栓塞面積及栓塞部位有直接關系。結論 掌握合適的適應證、充分的術前準備,把握合適的栓塞面積與部位,術后加強抗炎及對癥處理均可減少或減輕并發(fā)癥。
【關鍵詞】 脾功能亢進;栓塞;發(fā)熱
【Abstract】 Objective To study the causes of fever related to partial splenic embolization (PSE) and their management.Methods 23 patients with hypersplenism received transfer artery partial embolization using sponge. Blood routine, liver function, blood amylase, urine amylase, color Doppler were tested regularly after PSE the follow – up period range from 2 months to 1 year.Results Fever of vary degree were found in 23 patients, the incidence rate of fever after PSE related directly to the choose of case and the embolization extent ......
您現(xiàn)在查看是摘要介紹頁,詳見PDF附件(411KB,3頁)。
