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PERCUTANEOUS CONTROL OF POST‐TRAUMATIC HEPATIC HEMORRHAGE BY GELFOAM EMBOLIZATION

 

作者: E. BASS,   J. CROSIER,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1977)
卷期: Volume 17, issue 1  

页码: 61-63

 

ISSN:0022-5282

 

年代: 1977

 

出版商: OVID

 

数据来源: OVID

 

摘要:

A case is reported in which a male laborer sustained severe hepatic lacerations after a tree fell across his abdomen. Despite intensive resuscitation and a laparotomy, bleeding continued from the liver and a second laparotomy was performed. When this also failed to control the hemorrhage a selective hepatic angiogram showed a false aneurysm in the right lobe of the liver with surrounding hematoma. this was successfully embolized with Gelfoam emboli. Bleeding ceased immediately with an uneventful recovery. The role of embolization in the management of hepatic trauma is discussed, especially in relation to surgical hepatic artery ligation.

 

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