Efficacy and safety of interventional treatment for refractory bleeding caused by head,neck,and maxillofacial trauma
10.13406/j.cnki.cyxb.003656
- VernacularTitle:介入治疗头颈颌面部创伤难治性出血的疗效及安全性
- Author:
Lishan DING
1
;
Qingliang CHEN
;
Meng SHEN
;
Hao LIANG
;
Ming ZHENG
;
Zhaojun LI
;
Ji MA
;
Tengfei LI
Author Information
1. 河南中医药大学第一附属医院血液肿瘤科,郑州 450000
- Keywords:
maxillofacial injury;
hemorrhage;
angiography,digital subtraction;
refractory bleeding;
transcatheter arterial embolization
- From:
Journal of Chongqing Medical University
2025;50(3):376-380
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of transcatheter arterial embolization(TAE)in the treatment of refractory bleeding caused by head,neck,and maxillofacial trauma.Methods:The clinical data of 26 patients with refractory bleeding caused by head,neck and maxillofacial trauma who were treated with TAE in The First Affiliated Hospital of Zhengzhou University and The Third People's Hospital of Henan Province were analyzed retrospectively,including 16 males and 10 females,with an average age of 57.96±15.52 years.All patients were treated with TAE because of the poor effect of medication,packing,and other measures and repeated bleeding.The clinical data,operation success rate,effective hemostasis rate,30-day clinical success rate,and postoperative complica-tions were analyzed.The patients were followed up for 3 to 6 months.Results:The operation success rate of TAE was 100%.The bleed-ing symptoms of all patients were effectively controlled,and the effective hemostasis rate was 100%.The hemoglobin level was in-creased from(96.21±12.42)g/L before operation to(111.38±7.70)g/L at 3 days after operation(P<0.001).After operation,3 pa-tients had slight swelling,pain,or skin color changes in the head,neck,and maxillofacial region,which were effectively relieved or dis-appeared after symptomatic treatment;2 patients died of severe traumatic brain injury and cerebral edema.No serious complications such as cerebral infarction occurred in any patients.There was no rebleeding in any patients within 3 to 6 months of post-discharge follow-up.Conclusion:TAE has definite curative effect and good safety for refractory bleeding caused by head,neck,and maxillofa-cial trauma,and has high clinical application value.
