消化道出血的急诊介入治疗  

Emergency Interventional Therapy in Digestive Tract Bleeding

作　　者：卢武胜[1] 宋超 张翊文 刘文秀[1] 焦河[1] 费泽军[1] 

机构地区：[1]华西医科大学附属第一医院介入室,四川成都610041 [2]昆钢职工医院 [3]贵州同仁地区医院

出　　处：《实用放射学杂志》2001年第12期892-894,共3页Journal of Practical Radiology

摘　　要：目的　探讨消化道出血的急诊介入治疗方法和价值。方法　对 6 1例消化道出血病例进行急诊血管造影 ,术中根据不同出血原因和部位 ,分别再采用动脉栓塞或 /和缩血管药物灌注治疗。结果　动脉栓塞治疗 2 9例 ,即时止血率为 10 0 % ,3例治疗 1周后再出血 ;缩血管药物灌注治疗 32例 ,即时止血率为 82 .7% ,2 5例 ( 78.13 % ) 48h后再出血。两种治疗术后病人均无严重并发症。结论　消化道出血在急诊血管造影的同时行动脉栓塞或缩血管药物灌注治疗是安全、有效的止血措施 ,缩血管药物灌注后出血复发率虽高 ,但能为临床进一步治疗争取时间。Objective To study the methods and value of emergency interventional therapy in digestive tract bleeding.Methods 61 cases with digestive tract bleeding accepted emergency angiography.According to find out positions and causes of bleeding during angiography,these patients accepted arterial embolization and /or perfusion of vasoconstrictor substance.Results In 29 cases accepted arterial embolization and 32 cases accepted perfusion of vasoconstrictor substance,the stoped bleeding immediately occured in 100% and 82.7% respectively.Bleeding recurrence was 3 cases in the patients with arterial embolization one week later and 25 cases of the patients with perfusion of vasoconstrictor substance forty-eight hours later.Conclusion To treat the digestive tract bleeding by arterial embolization or vasoconstrictor substance perfusion are safe and effective hemostatic ways during emergency angiography.Though the bleeding recurrent rate is high after vasoconstrictor substance perfusion,these ways can race against time for surgical operation.

关 键 词：消化道出血 血管造影 动脉栓塞 药物灌注 介入疗法 

分 类 号：R573.2[医药卫生—消化系统] R814.43[医药卫生—内科学]