急诊血管造影在抢救消化道动脉性大出血的临床应用  

Clinic Application of Emergency Angiographic Diagnosis in Massive Gastrointestinal Hemorrhage

作　　者：陈达伟[1] 江晓肖[1] 陈少明[1] 沈四新[1] 方鹏[1] 

机构地区：[1]解放军第117医院呼吸消化科,杭州310013

出　　处：《医学研究杂志》2008年第5期44-46,共3页Journal of Medical Research

摘　　要：目的探讨急诊血管造影对消化道大出血的诊疗价值。方法19例消化道大出血患者,在内科抗休克无效或病情难以稳定情况下,急诊血管造影,术中注入止血或栓塞剂,并及时转外科手术治疗,并将血管造影表现与手术情况对照。结果所有患者安全完成血管介入检查,定位诊断率100%。结论在消化道大出血患者血压难以稳定的情况下,实施急诊血管造影是安全的,为急诊手术确立了定位目标;术中止血措施为实施手术创造了条件。Objective To evaluate the diagnostic and therapeutic value of emergency Angiography in massive gastrointestinal hemorrhage. Methods 19 patients with massive gastrointestinal hemorrhage,failed by internal medicine or under instable condltion,were undergone emergency angiographic diagnosis with hemostatic or embolismic agent infusion at the same time, and were transfered fo surgical department for emergency surgery on time, then the findings of angiographic diagnosis were compwred with the ones of operation. Results All the patients were performed emergency angiography successfully, and the localigation diagnosis rate is 100%. Conclusion Emergency angiography established orientation goal for the emergency surgery,which is safe even if blood pressure of the patients was uncertain by internal medicine, and hemostasis treatment also makes chance for emergency surgery.

关 键 词：急诊 抢救 血管造影 消化道出血 介入 

分 类 号：R573.2[医药卫生—消化系统] R737.33[医药卫生—内科学]