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Intra-operative Hemorrhage from the Maxillary Artery-A Case Report

術中內頷動脈出血-一病例報告

摘要


內頷動脈出血是顱顔外傷病患嚴重的問題。它同時也是手術過程中一個嚴重的問題,因爲它不只影響手術的進行,同時也會危及到病患的生命。緊急有效的控制出血是相當重要的。本文回顧文獻上有關內頷動脈出血的控制及一個經由外頸動脈結紮來控制手術中內頷動脈出血的個案。此個案術後並無任何併發症産生。根據實驗的發現,臨床上的經驗,以及選擇性栓塞併發症的報告,外頸動脈結紮手術乃是一種簡單,有效的方法,同時不會産生嚴重的併發症。

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並列摘要


Hemorrhage from the maxillary artery can be a serious problem in maxillo-facial injuries. It is also a serious intra-operative problem because it not only interferes with continuation of the operation but also endangers the patient's life. It is of utmost urgency to control the bleeding as effectively as possible. The literature related to the control of such hemorrhage is reviewed and a case is presented where a severe intraoperative hemorrhage from the maxillary artery was controlled by ligation of the external carotid artery. No post-operative complication was noted in our case. On the basis of the experimental findings, clinical experience, and the reported complications of selective embolization, the external carotid artery ligation procedure is simple, effective and free of serious complications.

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