| 摘要: |
| 目的 探讨肝衰竭患者行股静脉置管人工肝支持治疗时并发血管损伤的超声诊断价值。方法 回顾性分析了2013年1月至2018年11月本院收治的肝衰竭患者行人工肝支持治疗时发生血管损伤的临床表现及超声改变。 结果 16例肝衰竭患者行股静脉置管人工肝支持治疗时发生了血管损伤,包括12例肌间血肿(占75.00%)、2例肌间血肿伴腹膜后血肿(占12.50%)以及2例假性动脉瘤(占12.50%)。 结论 肝衰竭患者行股静脉置管人工肝支持治疗时发生血管损伤的表现形式多种,包括单纯局部肌间血肿、肌间血肿伴腹膜后血肿、假性动脉瘤。超声检查不仅能够对股静脉置管术后并发血管损伤的性质、部位、范围做出无创、快速诊断,还能评估疗效,是首选的影像学检查手段。 |
| 关键词: 肝衰竭 人工肝支持治疗 股静脉置管 超声诊断 血管损伤 |
| DOI： |
| 投稿时间：2019-03-12修订日期：2019-06-05 |
| 基金项目:四川省卫计委科研课题(No. 150035)；四川省医学科研青年创新课题计划(No. Q14020)；成都市卫计委科研课题(No.2015125) |
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| Value of ultrasonic diagnosis on vascular injury after femoral vein catheterization in patients with hepatic failure with artificial liver support therapy. |
| linjun |
| () |
| Abstract: |
| Objective To investigate the value of ultrasonic diagnosis on vascular injury after femoral vein catheterization in patients with liver failure undergoing artificial liver support therapy. Methods Clinical features and ultrasonic changes of vascular injury after femoral vein catheterization in patients with liver failure undergoing artificial liver support therapy from January 2013 to November 2018 in our hospital were analyzed retrospectively. Results 16 liver failure patients complicated with vascular injury, including 12 cases of localized intramuscular hematoma (75.00%), 2 cases of intramuscular hematoma with retroperitoneal hematoma (12.50%), and 2 cases of pseudoaneurysm (12.50%). Conclusions |
| Key words: liver failure artificial liver support therapy femoral vein catheterization ultrasonic diagnosis vascular damage |
