Keywords
Arterial embolism
Urinary tract bleeding
Submitted : 2024-02-27
Accepted : 2024-03-13
Published : 2024-03-28
Abstract
Objective: To analyze the effect of arterial embolism (AE) in patients with massive urinary system bleeding (MBUS). Methods: From September 2018 to September 2023, 175 cases of MBUS patients in the emergency department of the hospital were randomly selected and divided into groups according to the length of stay. Among them, 85 cases (September 2018 – September 2020) underwent bladder irrigation treatment with aluminum potassium sulfate solution through a catheter (Group A), and 90 cases (October 2020 – September 2023) underwent AE treatment (Group B). The treatment effects of the two groups were compared. Results: The treatment effectiveness of Group B is higher than that of Group A (P < 0.05). The urinary hemoglobin level of Group B is lower than that of Group A at 1, 6, 12, and 24 hours after treatment (P < 0.05). Among the 90 cases treated with AE, 7 cases had a fever, with body temperatures ranging from 37.3°C to 38.9℃, with a mean temperature of 38.2 ± 0.3℃. Four cases experienced local pain, nausea, and vomiting, while two cases of intra-iliac AE showed transient buttock pain. These patients with adverse reactions were treated symptomatically for 7 days. All patients recovered after treatment. Intravenous urography of 87 patients in June showed that the renal pelvis and calyces were in good condition, the renal function returned to normal, and the blood urea nitrogen and blood creatinine test results were within the normal range. After 1 year of follow-up, no hypertension occurred. Conclusion: AE treats MBUS patients in the emergency department with remarkable efficacy. It has the advantages of less damage to the body, rapid hemostasis, high safety, and maximum preservation of organ function.
References
Wang Y, Yi J, Luo Y, 2021, Application of Electronic Urine Volume Monitor Equipment to Observe Urine Volume in Patients with Urinary Tract Bleeding. Contemporary Medicine, 27(20): 183–184.
Huang D, Meng X, Zhao J, et al., 2022, The Efficacy of Arterial Embolization Combined with Thoracoscopic Lobectomy in the Treatment of Pulmonary Tuberculosis Accompanied by Massive Hemoptysis and Its Impact on Patients’ Lung Function and Arterial Blood Gases. Hainan Medicine, 33(15): 1931–1934.
Wang Q, Wu G, 2023, Preventive Effect of Uterine Artery Embolization and Conservative Treatment on Postoperative Massive Bleeding in Patients with Scar Pregnancy. Chinese Maternal and Child Health Care, 38(5): 787–790.
Wang H, Li G, Chen Q, et al., 2023, Occurrence and Influencing Factors of Massive Bleeding During Uterine Curettage After Uterine Artery Embolization in Early Cesarean Scar Pregnancy. Journal of Interventional Radiology, 32(5): 436–440.
Shi J, Wang L, Du L, et al., 2023, Renal Capsular Artery Embolization Combined with Super-Selective Renal Artery Embolization in Treating Injured Renal Hemorrhage. Journal of Practical Radiology, 39(9): 1503–1513.
Liu S, Liu M, Wang Q, et al., 2023, Efficacy and Safety of CalliSpheres Drug-Loaded Microspheres Through Prostatic Artery Chemoembolization in the Treatment of Advanced Prostate Cancer with Bleeding. Journal of Jiangsu University (Medical Edition), 33(5): 380–385.
He X, Chi R, Wang W, et al., 2023, Analysis of the Therapeutic Effect and Influencing Factors of Uterine Artery Embolization in Patients with Refractory Postpartum Hemorrhage. Chinese Maternal and Child Health Care, 38(13): 2425–2428.
Zheng Z, Zhang Y, Zhou C, 2022, Effects of Uterine Artery Embolization and Methotrexate Treatment on Uterine Artery Hemodynamic Indicators and Adverse Reactions in Patients with Uterine Bleeding in Scar Pregnancy. Chinese and Foreign Medicine, 41(34): 86–89 + 98.
Wu S, 2023, Clinical Observation on Using Spring Coils Combined with Gelatin Sponge Particles for Renal Artery Embolization in Treating Traumatic Renal Bleeding. Zhejiang Trauma Surgery, 28(8): 1424–1427.
Dai Z, Wang D, Li J, 2023, Clinical Observational Study on NBCA Glue Combined with Spring Coil Super-Selective Renal Artery Embolization in Treating Bleeding After Percutaneous Nephroscopy. Modern Chinese Doctors, 61(23): 52–54.