急性出血性疾病的血管造影及栓塞治疗  

Angiograraphy and embolization treatment of acute hemorrhagic diseases

作　　者：任毅[1] 陈君辉[1] 贺平[1] 熊洪莉[1] 梁娜[1] 周显波[1] 

机构地区：[1]成都市第二人民医院介入医学科,四川成都610017

出　　处：《现代医药卫生》2011年第24期3717-3718,共2页Journal of Modern Medicine & Health

摘　　要：目的：评价数字减影血管造影术（digital subtraction angiography,DSA）及栓塞术在治疗急性出血性疾病中的作用。方法 ：对35例患有急性出血性疾病的患者施行血管造影及部分患者栓塞治疗,所有患者均行出血血管的超选择插管造影。其中22例使用明胶海绵颗粒和明胶海绵条栓塞治疗,其中3例用钢圈加固栓塞;2例行垂体后叶素加压止血治疗。结果：24例栓塞患者中有18例达到完全止血,4例仍有出血,但出血量明显减少,经内科保守治疗后痊愈出院,随访6~24个月均无再出血。2例行垂体后叶素加压止血治疗患者,其中1例术后4 d行外科手术治疗,另1例出血停止。结论：DSA血管造影及栓塞治疗对出血性疾病,可以达到明确诊断出血部位,并实施栓塞治疗,且疗效确切,不良反应少。Objective：To evaluate the effects of digital subtraction angiography（DSA） and embolization in treating acute hemorrhagic diseases.Methods：35 cases of hemorrhagic diseases were conducted angiography and the partial cases were performed the embolization therapy.All the cases were conducted super selective angiography and 22 cases were treated with gelatin sponge and gelatin sponge tube embolization.Among them,3 cases were fixed with steel rim.2 cases were treated with posterior pituitrin for pressurized hemostasis.Results：Among 24 cases of embolization,18 cases obtained complete hemostasis,4 cases were still bleeding with significant reduced amount of blood loss and discharged with recovery after conservative therapy of internal medicine and without bleeding during the 6-24 months follow-up observation.In 2 cases of posterior pituitrin treatment,1 case was conducted the surgery therapy on postoperative 4 d and another case showed stopping hemorrhage.Conclusion：DSA and embolization in treating hemorrhagic diseases can reach the definite diagnosis of bleeding part and conducting embolization directly with definitive effects and less adverse reactions.

关 键 词：出血 造影 诊断 栓塞 

分 类 号：R81[医药卫生—放射医学]