重症急性胰腺炎并发大出血的血管造影和栓塞治疗

Angiography and embolization treatment of large hemorrhage complicated with severe acute pancreatitis

目的评价重症急性胰腺炎并发大出血的血管造影和栓塞治疗的临床价值。方法回顾总结4例重症急性胰腺炎并发大出血病例的诊断和治疗经过。结果本组4例患者为重症急性胰腺炎并发腹腔内或消化道大出血,以腹腔出血为主2例,以消化道出血为主2例,其中1例伴有假性囊肿出血。全部病例行血管造影和动脉栓塞术,均寻找到出血血管和成功止血,并联合内科或外科手术处理后治愈。结论血管造影和动脉栓塞术是诊断和治疗重症急性胰腺炎并发大出血的简便、安全、有效的方法。

Objective： To evaluate clinic value of angiography and embolization treatment of large hemorrhage complicated with severe acute pancreatitis. Methods： The diagnosis and therapy of four cases of large hemorrhage secondary to severe acute pancreatitis were retrospectively analyzed. Results： In this group, four patients had severe acute necrotic pancreatitis and complicated with bleeding into peritoneal cavity or into gastrointestinal tract. There were intraabdominal bleeding in 2 case, gastrointestinal tract bleeding in 2 cases by bleeding within pseudocyst in 1 case. Four cases underwent angiography and embolization treatment. The angiography showed hemorrhage blood vessels. Four cases had successfully hemostasis and cured together with medicial and surgical treatment. Conclusion： The angiography and artery embolization is an simple, safe and effective method to diagnose and treat the large hemorrhage comolicated with severe acute pancreatitis