急性下消化道大出血的检查与治疗  

The diagnosis and treatment of acute lower gastrointestinal massive bleeding

作　　者：蒋兴海[1] 童仕伦[1] 

机构地区：[1]湖北医科大学附属第一医院普外科,武汉430060

出　　处：《临床外科杂志》2000年第6期346-348,共3页Journal of Clinical Surgery

摘　　要：目的　探讨急性下消化道大出血的诊治方法。方法　分析 2 1例急性下消化道大出血的诊治经过。结果　本组 2 1例中 6例药物治疗止血成功 ,成功率 2 8.6 %。肠系膜动脉造影阳性率92 .8% ,介入治疗成功率 84.6 % ,随访 1个月至 4年无复发。结论　急性下消化道大出血首先选用药物治疗。出血不能控制者宜选用选择性肠系膜动脉造影检查。造影确认出血动脉后同时介入栓塞治疗。Objective To investigate the methods of diagnosis and treatment of acute lower gastrointestinal massive bleeding. Methods Retrospective analysis was made on diagnozing and treating of 21 patients with acute lower gastrointestinal massive bleeding Results Within a total of 21 cases,bleeding was controlled by conservative treatment in 6 cases(28.6%),supermesenteric angiography showe positive findings in 92.8% and the interventional therapy was applied successfully in 84.6%. no recurrence was observed after Ⅰ month to 4 year follow up. Conclusions Patients with acute lower gastrointestinal massive bleeding should be treated firstly by conservatie method,uncontrollable bleeding should be evaluated by selective supermesenteric angiography;after the bleeding artery was recongnized by angiography,the intervention embolotherapy should be taken;the patients whose angiography are negative and bleeding cannot be controlled should be operatded

关 键 词：急性 下消化道大出血 选择性动脉造影 治疗 

分 类 号：R656.1[医药卫生—急诊医学]