急性动脉性大出血的介入治疗  

Interventional Therapy of Acute Hemorrhage of Artery

作　　者：江谋应 金涛[1] 王金林[1] 徐万里[1] 

机构地区：[1]安庆市第一人民医院放射科,安徽246003

出　　处：《安徽卫生职业技术学院学报》2009年第2期31-32,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨介入治疗在抢救急性动脉大出血中的方法、注意事项及临床价值。方法:回顾分析37例动脉性大出血患者介入诊治资料。均采用改良式Seldinger技术行右股动脉穿刺入路,行选择性或超选择性动脉造影明确出血部位,用明胶海绵栓塞出血靶血管或注射血管收缩剂进行止血。结果:37例大出血患者(盆腔大出血2例,肾出血5例,胆道术后大出血1例,上消化道大出血8例,下消化道出血5例,肝癌破裂出血1例,妇科大出血8例,支气管大咯血7例),30例一次性栓塞止血成功,1例两次栓塞止血,1例栓塞止血失败,5例下消化道出血经导管灌注垂体后叶素止血效果明显。结论:介入放射学经皮选择性及超选择性动脉造影术对动脉性大出血定位诊断明确,经导管栓塞出血靶血管或注射血管收缩剂止血安全、高效,可以取得立竿见影的效果。Objective： To evaluate the methods, points for attentions and clinical value of interventional therapy in rescuing different acute hemorrhage of artery. Methods： In analyzing 37 cases of acute hemorrhage of artery, seldinger technique was used for selective angiography to ascertain the bleeding site and embolize bleeding artery with gelfoam or inject angiotensin to stop bleeding. Results： 30 cases were successfully embolized by first interventional therapy 1 case was successfully embolized by second interventional therapy and 1 ease failed, 5 cases of lower gastrointestinal hemorrhage were stopped bleeding markedly by injecting pituitrin. Conclusion： Interventional therapy not only ascertains bleeding site, but also stops bleeding by embolizing bleeding artery or inject angiotension. The effect is certainly positive.

关 键 词：动脉性大出血 明胶海绵 栓塞 止血 

分 类 号：R543[医药卫生—心血管疾病]