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专家点评丨张琳教授:钇90选择性内放射治疗的并发症的预防和治疗 ...
临床中应加强对血管解剖结构认识来预防放射性微球进入胃或十二指肠。需全面评估肝脏动脉系统,发现可能导致肝外MAA摄取的动脉分支,使用弹簧圈栓塞预防,以降低放射性胃肠道溃疡风险。但因治疗期间对分枝血管的忽视、血管再通或血流动力学改变,均可能造成溃疡发生。临床中常用 质子泵抑制剂 ...
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