Percutaneous injection of hemostatic agents under the guidance of contrast-enhanced ultrasound for grade Ⅲ-Ⅳ hepatic trauma
10.3760/cma.j.issn.1004-4477.2009.01.012
- VernacularTitle:超声造影引导经皮注射治疗Ⅲ-Ⅳ级肝创伤出血的临床研究
- Author:
Zhiyan LI
;
Jie TANG
;
Faqin Lü
;
Yukun LUO
;
Junlai LI
;
Huiqin ZHANG
;
Wenxiu LI
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Microbubbles;
Liver/injuries;
Hemostasis
- From:
Chinese Journal of Ultrasonography
2009;18(1):37-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of percutaneous injection of hemostatic agents under the guidance of contrast-enhanced ultrasound(CEUS)for grade Ⅲ-Ⅳ hepatic trauma patients.Methods Eleven patients with severe hepatic trauma were treated using percutaneous focal injection of hemostatic agents.Five of these patients were hepatic injury of grade Ⅲ,and others were grade Ⅳ according to AAST.Results Out of all patients with severe hepatic trauma,9 patients were cured by once percutaneous injection of hemostatic agents under the guidance of CEUS,and 1 patient was cured by twice injection,and 1 patient was switched to surgery because of complicated pancreatic injury and the increase of free intraperitoneal fluid.Conclusions CEUS can display the site and severity of liver injury.Combining with interventional technology,injection of hemostatic agents under the guidance of CEUS can save life and avoid to resect organ,and it can win time for treating other compound injury.
