本文關(guān)鍵詞： 肝膿腫 假性動脈瘤 體層攝影術(shù) X線計算機 血管造影術(shù) 數(shù)字減影　出處：《中國醫(yī)學(xué)影像技術(shù)》2016年01期 　論文類型：期刊論文

【摘要】：正患者男,51歲,因"高熱、納差1月余"就診。2年前確診原發(fā)性肝細(xì)胞癌并接受外科切除術(shù),后間斷行3次選擇性肝動脈造影并化療栓塞術(shù),4個月前行射頻消融術(shù)(radio frequency ablation,RFA)和125I粒子置入術(shù),3個月前復(fù)查CT示門靜脈癌栓并食管胃底靜脈嚴(yán)重曲張,后行門靜脈支架置入并曲張靜脈栓塞術(shù)。40天前患者突發(fā)寒顫高熱,最高至41℃;CT可見原消融區(qū)呈較低密度影,內(nèi)可見氣體影,增強掃描后病灶周圍見輕度強化(圖1),結(jié)合患者臨床癥狀,考慮并發(fā)肝膿腫,遂行經(jīng)皮肝穿置管引流術(shù),術(shù)中經(jīng)引流管造影可見肝靜脈顯影,引流管間斷引流出粉紅色濃稠液體,使用抗生素沖管后患者癥狀
[Abstract]:The patient was 51 years old. He was diagnosed with primary hepatocellular carcinoma (HCC) 2 years ago and underwent surgical resection because of "high fever and anorexia on January". After that, selective hepatic arteriography and chemoembolization were performed three times. Radiofrequency ablation (RFA) and 125i seed implantation were performed before 4 months. Before 3 months, CT examination showed portal vein tumor thrombus with severe esophageal and gastric varices, then portal vein stent implantation and varicose vein embolization. 40 days before embolization, the patients had sudden chills and high fever, up to 41 鈩，

本文編號：1486162