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失去外科治疗机会的肝癌病人至今为止较有效的治疗方法是肝动脉药物碘油栓塞术(Lipiodol transcather arteriale embolization,简称LP-TAE)。LP-TAE后除有恶心、呕吐,发热腹痛等栓塞综合征外,还可引起上消化道出血,因出血病灶弥漫且全身情况差,不能做手术止血,内科治疗效果亦差,往往危及患者生命。我科采用腹腔动脉插管灌注血管收缩剂治疗成功二例,现结合文献报道如下。 例一,男,43岁。慢肝史20多年,右上腹痛
Hepatic cancer patients who have lost surgical treatment opportunities have so far been more effective treatment methods, such as Lipiodol transcather arteriale embolization (LP-TAE). After LP-TAE, in addition to nausea, vomiting, fever, abdominal pain and other embolism syndrome, can also cause upper gastrointestinal bleeding, due to bleeding lesions and poor general condition, can not be surgery to stop bleeding, medical treatment is also poor, often endanger the lives of patients . In our department, two cases have been successfully treated by celiac artery catheterization and perfusion of vasoconstrictors. The literature is reported as follows. Example 1, male, 43 years old. Slow liver history for more than 20 years, right upper abdominal pain