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A fatal complication of ultrasound-guided abdominal paracentesis

机译:超声引导下腹腔穿刺术的致命并发症

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摘要

Ultrasound-guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound-guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound-guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails.
机译:超声引导的腹腔穿刺术是放射科医生经常出于诊断和治疗目的而进行的手术。已经证明该方法是安全的,几乎没有并发症。我们报道了一例接受难治性腹水并发腹膜内出血导致死亡的超声引导治疗性腹腔穿刺术的患者。这种情况表明,超声引导的穿刺术可能需要变得更加标准化,并且在发生出血的情况下,当手动加压失败时,应采用栓塞或手术干预等替代治疗方案。

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