介入治疗动脉性消化道大出血  

Interventional therapy of arterial gastrointestinal hemorrhage.

作　　者：成淑莲[1] 于学荣[2] 耿正顺[3] 张小林[2] 彭伟[2] 张宏春[2] 

机构地区：[1]山东莱芜钢铁集团有限公司医院内科,山东莱芜271126 [2]山东莱芜钢铁集团有限公司医院介入科,山东莱芜271126 [3]山东莱芜钢铁集团有限公司医院外科,山东莱芜271126

出　　处：《中国冶金工业医学杂志》2003年第6期413-415,共3页Chinese Medical Journal of Metallurgical industry

摘　　要：目的:研究动脉性消化道大出血在保守治疗无效情况下,进行超选择动脉栓塞治疗的血管造影表现、临床应用价值及栓塞技术要点。方法:本组25例均是在积极抗休克、全身止血的前提下,采用Seldinger法穿刺股动脉,首先有目的地选择某一血管造影,明确出血部位,尽快栓塞止血,普通导管难以达到栓塞部位的应用SP微导管,栓塞材料主要以明胶海绵为主,加用真丝线段、PVA颗粒、微钢圈。结果:本组25例一次栓塞成功22例,二次栓塞1例。2例栓塞后24小时仍有少量出血,给予全身止血药物出血停止。25例术后随访20～60天无1例复发出血。结论:介入治疗动脉性消化道大出血创伤小,止血快速安全,栓塞治疗目标准确,是一种有效的抢救措施。Objective To evaluate the angiogrophy of feature and clinical application value of superselective arterial embolotherapy in treating arterial gastrointestinal hemorrhage. Methods: 25 patients with gastrointestinal hemorrhage were performed with superselective mesenteric arteriography and interrentional embolization by gelfoam,silk coil,PVA particles and microcoil. Results:The procedures were succeeded firstly in 22 patients. One case was cured by the second time embolization. After 24 hours embolotherapy, 2 patients with continual bleeding were stopped by drug. There are no recurrent bleeding and serious complication occurred during 20-60 days in 25 cases. Conclusions:Superselective arterial embolotherapy is safe,reliable and effective for gastrointestinal hemorrhage.

关 键 词：消化道大出血 止血 栓塞 动脉 介入治疗 血管造影 全身 

分 类 号：R573.2[医药卫生—消化系统]