Using Emergent Transcatheter Arterial Embolization (TAE) for a Hemodynamically Unstable Patient Suffering Severe Organ Lacerations: A Case Report

緊急利用非外科手術的經導管動脈栓塞術(TAE)來處置因嚴重肝臟撕裂傷及大量內出血導致血液動力學不穩定的個案在此報告。一位22歲女性患者自住處的13樓跳下自殺，隨後被緊急醫療網送至本院急診部治療。此患者呈現多重鈍傷合併嚴重內出血，且依美國外傷醫學會(AAST)的器官外傷嚴重度準則研判其肝臟撕裂傷達五級，經會診放射科醫師後，我們決定利用經導管動脈栓塞術(TAE)來處置此患者的嚴重內出血。經過及時的緊急搶救並給予補充大量的體液及輸血後，此患者的出血情形未經外科手術便獲得控制並存活，隨後她被送至本院的外科加護病房接受後續的醫療照護。

關鍵字

血液動力學不穩定；肝臟撕裂傷；經導管動脈栓塞術

並列摘要

Herein, we present the case of a hemodynamically unstable patient suffering from severe liver laceration and major internal bleeding who was treated using transcatheter arterial embolization (TAE), an emergency non-surgical therapeutic technique. A 22-yearold female had previously attempted suicide by jumping down from the 13(superscript th) floor of her dwelling, and was then sent to our emergency department by EMT. This patient sustained blunt multiple trauma, resulting in major internal bleeding and a grade V liver laceration which was graded according to the standards of the American Association for the Surgery of Trauma (AAST). In order to attempt to control this patient's serious internal bleeding, we consulted with the relevant radiologist, and a transcatheter arterial embolization (TAE) was performed for this patient. By our timely intervention and subsequent ongoing management with massive fluids and blood resuscitation, this patient's hemorrhage was controlled non-surgically and she survived, she being subsequently hospitalized for further medical care in our SICU (Surgical Intensive Care Unit).

並列關鍵字

hemodynamically unstable ； liver laceration ； transcatheter arterial embolization

國際替代計量

Using Emergent Transcatheter Arterial Embolization (TAE) for a Hemodynamically Unstable Patient Suffering Severe Organ Lacerations: A Case Report

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