CAJ | 학술논문

脾动静脉瘘临床罕见,容易误诊.脾动静脉瘘临床上可表现为门静脉高压症、食管胃底静脉曲张、消化道出血、腹泻、腹痛、腹腔积液、呼吸障碍、心脏衰竭等.2014年4-5月苏州大学附属第一医院收治1例脾切除术后脾动静脉瘘患者,经多学科讨论由介入放射科协助,运用脾动脉栓塞术+腹腔动脉造影术成功治疗该例脾动静脉瘘患者,术后2个月复查腹部增强CT示腹腔积液消失,门静脉高压症症状消失,肝肾功能恢复正常.
비동정맥루림상한견,용역오진.비동정맥루림상상가표현위문정맥고압증、식관위저정맥곡장、소화도출혈、복사、복통、복강적액、호흡장애、심장쇠갈등.2014년4-5월소주대학부속제일의원수치1례비절제술후비동정맥루환자,경다학과토론유개입방사과협조,운용비동맥전새술+복강동맥조영술성공치료해례비동정맥루환자,술후2개월복사복부증강CT시복강적액소실,문정맥고압증증상소실,간신공능회복정상.
Splenic arteriovenous fistula is a rare disease and is also easy to be misdiagnosed.Clinical manifestations of the splenic arteriovenous fistula include portal hypertension,esophageal gastric varices,gastro-intestinal bleeding,diarrhea,abdominal pain,ascites,dyspnoea and heart failure.One patient with splenic arteriovenous fistula after splenectomy was treated at the First Affiliated Hospital of Soochow University from April to May in 2014.The patient was cured successfully by percutaneous transarterial embolization and celiac arteriography with the aid of interventional radiology.Hepatic and renal functions of the patient got a normal condition combined with a missing of the ascites and portal hypertension by abdominal enhanced computed tomography at postoperative month 2.