Abstract
慢性胰腺炎病人活动性出血性假性动脉瘤可危及生命.除了复杂手术外,也可选择血管栓塞.作者回顾性分析33例慢性胰腺炎伴有出血性假性动脉瘤的病人的诊疗资料,结果显示,1993-2005年间,745例慢性胰腺炎病人中有33(4.4%)例证实伴有出血性假性动脉瘤,占该院总的1892例慢性胰腺炎住院病人中的1.7%.所有病人均经急诊血管造影明确诊断.血管栓塞治疗总的成功率为67%(22/33),其中包括3例栓塞后再出血再次栓塞者.胰头部位有假性囊肿的20例病人有16例栓塞成功(80%).当脾动脉出血时,成功率只有50%.5例出血进入腹腔的病人中有4例需要手术干预.总的死亡率与并发症发生率分别为6%(2/33)和21%(7/33),栓塞病人与手术病人无显著区别.血管栓塞与明显减少输血量以及住院天数相关联。
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