急性消化道出血的血管造影诊断与介入治疗

Angiography and interventional therapy for acute gastrointestinal hemorrhage

目的:探讨急性消化道出血的血管造影诊断的价值及介入治疗的方法和意义。方法:26例急性消化道出血,经选择性血管DSA检查,并对其中14例,经导管动脉灌注垂体后叶素或栓塞治疗。结果:阳性19例,阴性7例。14例经介入治疗后,11例得到完全止血,2例止血不彻底,1例48h后再出血。结论:选择性血管造影对急性消化道出血,特别是小肠部位的出血定位、定性诊断有肯定的价值;合理选择造影时机,可以提高对出血检出的阳性率;并经导管动脉灌注垂体后叶素或栓塞治疗后,止血迅速有效。

Objective：To explore the elinieal value of angiography in diagnosing gastrointestinal hemorrhage, and to discuss the signifieanee of interventional management.Methods：The acute gastrointestinal hemorrhage was verified by seleetive DSA in 26 eases. 14 eases were performed with artery embolization or pituitrin transeatheter infused.Results：Positive was seen in 19 eases, while negative in 7 eases. Interventional treatment was carried out in 14 eases ,of which the bleeding was completely stopped in 11, partially controlled in 2 and reoccurred 48 hours later in 1. Conclusion： Seleefive angiography is of affirmative value in determing the location and nature of the gastrointesfinal hemorrhage. Angiography in suitable time gives a high detectable positive rate, and hemorrhage can be effeetively controlled with artery embolizafion or pituitrin transeatheter infused.