急性消化道大出血的血管内介入治疗

Application of Interventional Treatment in Acute Massive Gastrointestinal Hemorrhage

目的:研究血管介入技术对急性消化道大出血的诊断和治疗价值。材料和方法:对59例急性消化道大出血患者进行动脉造影,发现出血征象时超选并采用钢圈配合海绵颗粒进行栓塞治疗。结果:59例造影发现出血阳性征象28例,栓塞治疗25例,止血成功21例,成功率84%。最终转外科手术10例。结论:动脉造影及栓塞技术可以作为消化道大出血的一项重要诊断及治疗措施。

Purpose To investigate the diagnostic and therapeutic value of vascular interventional technology dealing with acute massive gastrointestinal hemorrhage.Materials and methods 59 patients with acute massive gastrointestinal hemorrhage underwent the arteriography of mesenteric arteries and abdominal arteries.When positive signs of bleeding appeared,super-selective catheterization and embolization with micro-coil and gelfoam was applied immediately.Results Positive signs of bleeding were detected in 28 of 59 patients,among which 25 patients underwent embolization,and successful hemostasis was achieved in 21 cases with an achievement ratio of 84%.And there were 10 cases eventually turning to surgery.Conclusion Vascular interventional technology such as arteriography and embolization played an important role in diagnosis and treatment of acute massive gastrointestinal hemorrhage.