经导管栓塞治疗急性动脉性上消化道出血的临床分析  

Transcatheter embolotherapy for acute nonvariceal upper gastrointestinal hemorrhage:a clinical analysis of 46 cases

作　　者：薛明 郭喜田 张立军 曹树伟 门中杰 陈晓声 

机构地区：[1]山东省威海市市立医院介入科,山东威海264200

出　　处：《中国中西医结合影像学杂志》2017年第4期445-447,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的 :探讨动脉造影和栓塞对急性动脉性上消化道出血的治疗作用。方法 :对46例急性动脉性上消化道出血患者行动脉造影,应用明胶海绵微粒或弹簧圈栓塞治疗。结果:直接出血征象34例,间接出血征象12例,栓塞止血成功率91.3%(42/46),术后30 d内再出血率19.0%(8/42),其中出现间接出血征象患者再出血率25.0%(3/12)。46例术后30 d存活率87.0%(40/46)。结论:经导管栓塞治疗急性动脉性上消化道出血安全有效,细致的腹腔动脉造影与恰当的靶血管栓塞是提高止血成功率的关键。Objective：To evaluate celiac angiography and transcatheter arterial embolization （TAE） in treating acute nonvariceal upper gastrointestinal hemorrhage. Methods：Angiography and TAE were performed in 46 patients with acute nonvariceal upper gastrointestinal hemorrhage,using gelfoam paticles or steel coils as embolic agents. Results：34 cases were of direct sign of hemorrhage,12 cases were of indirect sign of hemorrhage,and the ratio of embolic hemostasis was 91.3% （42/46）. Recurrent bleeding occurring within 30 days was 19% （8/42）,recurrent bleeding in patients with indirect sign was 25% （3/12）.The 30-day survival rate was 87% （40/46）.Conclusion：Transcatheter arterial embolization is a safe and effective procedure for acute nonvariceal upper gastrointestinal hemorrhage. Detailed celiac angiography and suitable use of embolization agents is the key to improve the success rate of hemostasis.

关 键 词：介入放射学 血管造影术 胃肠出血 栓塞 治疗性 

分 类 号：R573.2[医药卫生—消化系统]