选择性动脉造影诊断和栓塞及药物灌注治疗顽固性消化道出血

The selective angiographic diagnosis and treatment of intractable digestive tract hemorrhage by endovascular embolization and perfusion

目的：探讨选择性动脉造影诊断和介入治疗顽固性消化道出血的方法及疗效。方法：顽固性消化道出血8例，均为男性，年龄12～60岁。其中上消化道8例次．下消化道1例次。分别采用明胶海绵、手术用丝线栓塞及药物灌注治疗。结果：8例患者共做了9次DSA检查，止血均获得了成功。结论：介入栓塞及药物灌注治疗消化道出血创伤小，效果迅速可靠．对此类患者可起到挽救生命的作用。

Objective：To explore the method and effect of selective angiographic diagnosis ana treatment of intractable alimentary tract bleeding. Methods：Eight male patients aged 12-60 years, in which there were 8 person- time upper digestive tract hemorrhages and 1 person-time Lower digestive tract hemorrhage. Absorbable gletain sponge,spring coil emboliization and perfusion were used respectively for treatment, Results： 9 -time DSA examinations were performed in 8 patients, and the stoppage of bleeding was successful. Conclusion： Interventional embolization and perfusion treatment for digestive tract hemorrhage showed mild trauma and effectiveness,whh an effect in saving life for this kind of patient.