急性消化道大出血的介入治疗(附25例报告)  

Interventional therapy on the acute massive hemorrhage of gastrointestinal tract (report of 25 cases)

作　　者：叶远树[1] 徐伟[1] 王宏辉[1] 白彬[1] 

机构地区：[1]哈尔滨医科大学附属第二医院放射线科,黑龙江哈尔滨150086

出　　处：《医学影像学杂志》2007年第2期168-170,共3页Journal of Medical Imaging

摘　　要：目的探讨急性消化道大出血血管造影的诊断与治疗价值。方法对介入治疗急性消化道大出血25例临床资料进行回顾性分析。结果采用Seldinger技术和同轴导管方法,使导管头端超选择至出血部位,用PVA、明胶海绵或弹簧圈栓塞治疗。25例均能确定出血部位且栓塞成功,达到止血目的,治愈率达100%。结论介入方法不仅可确定出血部位,而且可达到止血目的。此法简单,效果确切,明显优于剖腹探查手术。Objective：To evaluate the acute diagnostic angiography and therapy for the acute massive hemonhage of gastrointestinal tract. Methods： To review and analyze 25 cases of acute hemorrhage of gastrointestinal tract who were admitted and adopted acute angiography and embolotherapy. Results： Fifteen patients were male, and ten patients were female. After adopting the Seldinger technique and method of coaxial duct, the head of ducts superselective accessed to the region of bleeding, then we used PVA particles, gelfoam and coils to embolism. All bleeding sites could be confirmed and were successfully embolized. All of the 25 patients got objective of hemostasis. All the patients were no bleeding again. The cure rate was 100%. Condusion： Interventional therapy can not only ascertain the bleeding site, but also stop bleeding . The method is simple and the effect is certain. Moreover, the method obviously surpasses the exploratory laparotomy.

关 键 词：急性消化道出血 血管造影 介入 栓塞 

分 类 号：R573.2[医药卫生—消化系统] R815[医药卫生—内科学]