急性消化道出血血管造影与介入治疗价值  

The value of angiography and interventional treatment for acute gastrointesti nal hemorrhage

作　　者：何以一 [1] 张德胜 [1] 于长鹿 [1] 董卫国 [1] 王涛 [1] 祁兵 [1] 孙孟瑞 [1] 李津花 [1] 阚志超  张慧贞  王风梅  孙惠军  肖朗  王毅军  

机构地区：[1]天津第三中心医院,放射科,天津,300170 [2]天津第三中心医院,肝内(消化)科,天津 300170 [3]天津第三中心医院,外科,天津 300170 [4]天津第三中心医院,内科,天津 300170 [5]天津第三中心医院,肝外科,天津 300170

出　　处：《实用医学影像杂志》2005年第3期167-170,共4页Journal of Practical Medical Imaging

摘　　要：目的评价急性消化道出血血管造影的诊断价值及介入治疗疗效。方法47例急性消化道出血,经动脉血管造影41例发现出血部位(87.2%)。6例手术治疗,1例保守治疗,4例食管胃底静脉出血另行处理,30例进行介入治疗,9例灌注加压素,21例进行栓塞治疗。结果随访1个月～3个月,7例复发出血(2例手术切除,1例内科治疗,4例病死),23例治愈(76.6%)。结论急性消化道出血血管造影,可发现内窥镜和其他检查方法不能发现的出血部位,介入治疗是一种安全、微创、有效的治疗方法,亦能为手术做好准备。Objective To evaluate the effectiveness of angiography di agnosis and interventional treatment for acute gastrointestinal tract hemorrhage due to unknown causes.Methods Transcatheter angiography was performed in 47 pat ients with acute digestive tract bleeding.Forty- one of the 47 cases were disco vered their hemorrhage site(87.2% ). Six cases then were performed surgical ope ration and 4 cases gastro- esophageal varices were treated by other therapy. Ni ne cases used vasopressin arterial perfusion and 21 cases were performed arteria l embolization.Results In 23 of 30 patients treated with arterial interventional method, the bleeding were stopped immediately ,but 7 cases of them got recurre ntly hemorrhage .Two cases took surgical treatment and 4 cases died during follo wing- up 1 to 3 months. All the rest 23 cases recovered after interventional th erapy( 76.6% ) .Conclusion Transcatheter angiography can help to find out th e site of undetermined acute gastrointestinal hemorrhage and to help the diagnos is for the preparation of surgical treatment.The interventional treatment in the gastrointestinal hemorrhage is a safe, minimally invasive and efficient therape utic methods.

关 键 词：急性消化道出血 血管造影 介入治疗 加压素栓塞 

分 类 号：R57[医药卫生—消化系统]