不明原因消化道出血的介入治疗研究  

Observation of interventional therapy for alimentary tract hemorrhage of unknown origins

作　　者：吴熙中[1] 荆绪斌[2] 陈艳萍[2] 吴仁华[1] 

机构地区：[1]汕头大学医学院第二附属医院,515041 [2]汕头大学医学院第一附属医院

出　　处：《医师进修杂志》2005年第6期12-14,共3页Journal of Postgraduates of Medicine

摘　　要：目的研究不明原因消化道出血的介入诊断及治疗。方法36例不明原因消化道出血患者进行造影检查,查明原因的进行栓塞或外科手术止血,仍然不明原因的,于造影血管灌注加压素及立止血后,结合内科治疗。结果有17例病人查明出血原因,介入或手术治疗后止血。19例不明原因的出血,灌注加压素及立止血后,结合内科治疗,15例止血。结论不明原因消化道出血造影能明确诊断并指导治疗,对造影仍不明原因的出血,局部用止血药也能达到止血目的,缩短住院时间。Objective To evaluate interventional procedures for management of alimentary tract hemorrhage of unknown origins. Method Thirty-six patients with alimentary tract hemorrhage of unknown origins were enrolled. Digital subtraction angiography (DSA) was used to detect hemorrhage causes.Interventional embolism or surgery was performed on those patients with known origins confirmed with DSA.Vasopression and reptilase were administrated for those patients with unknown origins after DSA examination. Results The hemorrhage cause was found in 17 cases after DSA examination and the hemorrhage was stopped with interventional embolism or surgery. In 19 hemorrhage patients with unknown origins,15 cases were healed by combination of vasopression and reptilase perfusion and internal medicine. Conclusion DSA is a helpful procedure to make the diagnosis for alimentary tract hemorrhage of unknown origins. Moreover, DSA is very important to guide the treatment of unknown-origins hemorrhage. Focal administration by anti-hemorrhage drugs can also be used to achieve therapeutic effects and reduce inpatient time for those hemorrhage patients with unknown origins after DSA examination.

关 键 词：不明原因消化道出血 介入治疗 内科治疗 诊断及治疗 造影检查 出血患者 手术止血 血管灌注 出血原因 指导治疗 住院时间 立止血 加压素 治疗后 止血药 

分 类 号：R573.2[医药卫生—消化系统] R735.7[医药卫生—内科学]