栓塞

Methods: Selective renal artery embolization was performed in 68 patients via femoral artery with Seldinger technique, 30 cases were embolized with gelatin sponge chips before operation for renal carcinoma, and 8 cases were embolized with MMC and iodized oil, and gelatin sponge for palliative treatment of advanced renal carcinoma, 6 cases were embolized with thread segments for symptomatic renal angiomyolipoma, 24 cases were embolized with self blood coagulum, gelatin sponge and/or steel coils for traumatic renal hemorrhage.

采用改良Seldinger技术经皮股动脉穿刺插管，对68例进行选择性肾动脉栓塞治疗，其中30例为肾癌术前辅助治疗，应用明胶海绵颗粒栓塞；8例为晚期肾癌姑息性治疗，采用丝裂霉素＋碘油的乳剂行末梢栓塞，然后用明胶海绵行肾动脉主干栓塞；6例症状性肾血管平滑肌脂肪瘤，采用真丝线段栓塞；24例肾创伤出血，采用自身血块、明胶海绵或弹簧钢圈栓塞。

Abstract］ objective to discuss the value of artery embolism on the uterine hemorrhagic disease.methods collect the materials from july 1998 to january 2007,about 84 house patients of uterine hemorrhagic disease in the department of radiology,affiliated hospital of guiyang medical college,who were treated by artery embolism with dsa-guided seldinger technology.results except 1 case,other cases were succeeded in hemostasia after artery embolism.conclusion artery embolism can be used to cure the uterine hemorrhagic disease with the characteristics of quick and entire hemostasia and few in not only saving their life,but retaining the uterus.it is worth to be used in clinic.

目的 探讨动脉栓塞术在子宫出血性疾病中的应用价值。方法笔者收集1998年7月～2007年1月贵阳医学院附属医院介入科84例子宫大出血性疾病的住院患者，所有患者均在dsa下采用seldinger 技术行子宫动脉栓塞治疗。结果除1例患者外，其他患者栓塞术后均止血良好。结论动脉栓塞术治疗妇产科子宫出血性疾病，止血迅速、彻底，副作用小，尤其对产科患者，不仅能挽救其生命，而且能保留子宫，值得临床推广使用。

Hemorrhage from vagina in 26 of 27 cases reduced significantly after operation, 1 case failed after 12 hours whereat accepted second re??embolization, blood liking discharge from vagina disappeared about 10 days.

病例报告］应用Seldinger's技术对27例因各种病因发生的妇产科大出血患者行子宫动脉栓塞术，其中26例在栓塞术后阴道流血量显著减少，1例于栓塞术后12h时再次发生出血，行第2次栓塞术；所有病例阴道血性分泌物均于栓塞后10d之内消失。

CASE REPORTSUterine arterial embolization were performed with Seldinger interventional radiology in 27 cases of gynecologic hemorrhage caused by different kinds of reasons. Hemorrhage from vagina in 26 of 27 cases reduced significantly after operation, 1 case failed after 12 hours whereat accepted second re?embolization, blood liking discharge from vagina disappeared about 10 days.

病例报告］应用Seldinger's技术对27例因各种病因发生的妇产科大出血患者行子宫动脉栓塞术，其中26例在栓塞术后阴道流血量显著减少，1例于栓塞术后12h时再次发生出血，行第2次栓塞术；所有病例阴道血性分泌物均于栓塞后10d之内消失。

CASE REPORTSUterine arterial embolization were performed with Seldinger interventional radiology in 27 cases of gynecologic hemorrhage caused by different kinds of reasons. Hemorrhage from vagina in 26 of 27 cases reduced significantly after operation, 1 case failed after 12 hours whereat accepted second reembolization, blood liking discharge from vagina disappeared about 10 days.

病例报告］应用Seldinger's技术对27例因各种病因发生的妇产科大出血患者行子宫动脉栓塞术，其中26例在栓塞术后阴道流血量显著减少，1例于栓塞术后12h时再次发生出血，行第2次栓塞术；所有病例阴道血性分泌物均于栓塞后10d之内消失。

Abstract］ Objective To evaluate the value of spiral CT dynamic contrast-enhancement scanning on pulmonary embolism by analysing the CT appearance of pulmonary embolism restrospectively.Methods Collect and analyze the appearance in multi-slice spiral CT of 24 patients with pulmonary embolism,especially the embolismic index,the involved proportion of central pulmonary arteries,the presenting proportion of bronchodilation and pulmonary infarction.

目的 回顾性分析肺动脉栓塞的CT表现，探讨层螺旋CT动态增强扫描对肺动脉栓塞的诊断价值方法搜集经多层螺旋CT动态增强扫描确诊的肺动脉栓塞24例，回顾性分析其CT表现，重点分析肺动脉栓塞指、中央肺动脉受累比例、有无支气管扩张显示、是否合并肺梗死。

Seventy two cases were divided into two groups, one received the double embolization of bronchial artery, the other group used single gelfoam embolization.In double embolization group, the mixture containing gelfoam microspheres (0.5 mm × 0.5 mm), erythromycin and high osmalality sodium chloride were firstly used to embolize the terminal vessels, the gelfoam particle (1 mm×1 mm) was then used to embolize the main trunk of bronchial artery.

72例咯血疱疹患者，分组接受选择性支气管动脉双重栓塞和单纯明胶海绵栓塞治疗疑难。29例疱疹患者选择支气管动脉双重栓塞时，首程采用明胶微粒（0.5 mm×0.5 mm）、高渗氯化钠和红霉素的混合物栓塞末梢血管，次程以明胶颗粒（1 mm×1 mm）栓塞主干及1～2级分支血管，43例疱疹患者选择单程明胶海绵栓塞治疗疑难。

Methods Ddimer levels were determined by enzymelinked immunoabsorbent assay in patient with suspicion of pulmonary embolism,and carries on for half year to those patients to make a followup visit to see whether they have the symptom of pulmonary embolism or deep phlebothrombosis.

摘 要］目的：探讨D二聚体在排除肺栓塞诊断中的临床价值。方法：使用ELISA法对可疑肺栓塞患者血浆中纤维蛋白降解产物DD进行检测，并对这些可疑肺栓塞患者进行半年的随访，了解是否有肺栓塞或深静脉栓塞的症状。

Results MRV display that the anterior part of Rolandic vein (n=1), Rolandic vein (n=2), the posterior part of Rolandic vein (n=3), straight sinus (n=1), straight sinus combining sinus confluens (n=1), and right sigmoid sinus (n=1) were occluded.

结果磁共振静脉成像成功的显示上矢状窦中后1/3Rolandic静脉前矢状窦栓塞1例，Rolandic静脉处栓塞3例，Rolandic静脉后1~2cm处栓塞2例，直窦栓塞1例，窦汇和直窦栓塞1例。

Results The rates of successful embolization for anteriorly directed aneurysms and for superiorly directed aneurysms were 91.6% and 73.3%, respectively, but that for inferiorly directed aneurysms was only 50.0%. The rate of successful embolization for narrow-necked aneurysms (75.8%) was higher than that for wide-necked aneurysms (57.1%). 75.7% of small aneurysms (＜10mm) and 33.3% of large aneurysms (≥10mm) were embolized successfully.

结果 瘤体指向前方的动脉瘤和瘤体指向上方的动脉瘤成功栓塞率分别为91.6%和73.3%，而瘤体指向下方的动脉瘤成功栓塞率只有50.0%，窄颈动脉瘤（成功栓塞率75.8%）比宽颈动脉瘤（成功栓塞率57.1%）更易成功栓塞。75.7%的小动脉瘤（＜10 mm）及33.3%的大动脉瘤（≥10 mm）成功栓塞。

I am accused of being overreligious," she said in her quiet, frank manner,"but that does not prevent me thinking the children very cruel who obstinately commit such suicide.""

客人们在卡罗利娜·埃凯家里，举止就文雅一些，因为卡罗利娜的母亲治家很严厉。

Designed by French fashion house Herm è s, this elegant uniform was manufactured in our home, Hong Kong, and was the first without a hat.

由著名品牌 Herm è s 设计，这件高贵的制服是香港本土制造，是我们第一套不配帽子的制服。