Angiographic diagnosis and interventional therapy for post-operative hemorrhage in abdomen secondary to surgery
HU Ting-yang, YE Zai-yuan, YU Wen-qiang, YUAN Jian-hua, MAO Ying-min, CHEN Fang-hong, LUO Zu-yan, DING Xiao-nan, ZHOU Bing
Published 2010-02-10
Cite as Chin J Emerg Med, 2010,19(02): 195-198. DOI: 10.3760/cma.j.issn.1671-0282.2010.02.022
Abstract
Objective To discuss the clinical value of digital subtraction angiography(DSA)and interventional therapy in the abdominal exsanguinations including intra-abdominal hemorrhage,retroperitoneal hemorrhage and gastrointestinal hemorrhage secondary to surgery.Method From June 2003 to June 2009,a total of 24 patients with doubtful abdominal exsanguinations underwent DSA examination and received interventional therapy.The imaging of DSA and the efficacy were retrospectively analyzed.The hemoglobin,hemtocdt,blood pressure,and heart rate before and 3 days after operation were compared.The measurement data were analyzed using pairedsamples t-test,and the SPSS version 11.0 software was used for statistical analysis.Results The diagnosis of causes and site of post-opelative bleeding were entirely depended upon DSA examinations.All the patients accepted interventional therapy in the same session.Twenty-two patients(92%,95%C1:63%~99%)got rid of bleeding immediately without recurrence in 30 days,and two patients underwent re-surgical intervention because of bleedins recurrence within 24 hours.There were no complications of intervention found.The increases in levels of hemoglobin,hematocrit and blood pressures were observed(t=7.564,P=0.000;t=6.616,P=0.000;t=6.051,P=0.000;andt=8.579,P=0.000,respectively),and the heart rate was decreased(t=11.050,P=0.000).Conclusioms The DSAcandetennine the causesand the sites of post-operative bleeding,and the intervenfionai therapy is safe and effective with great clinical values,being worthy to extending in a large scale of application.
Key words:
Postoperative; Bleeding; Digital substraction angiography,DSA; Interventional therapy; Embolization; Recurrence; Complication
Contributor Information
HU Ting-yang
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
YE Zai-yuan
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
YU Wen-qiang
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
YUAN Jian-hua
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
MAO Ying-min
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
CHEN Fang-hong
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
LUO Zu-yan
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
DING Xiao-nan
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China
ZHOU Bing
Department of Interventional Radiology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China