摘要
目的探讨急性下消化道大出血的诊断和治疗方法。方法1995年10月以来采用选择性腹腔动脉造影及介入栓塞来诊断及治疗急性下消化道大出血13例。结果13例病人经14次选择性腹腔动脉造影,12例发现出血动脉,阳性率92%。12例出血病人均行介入治疗,其中10例行介入栓塞,9例成功,1例因消化道广泛出血,失败。2例行药物灌注,止血成功。全组无并发症发生。结论选择性腹腔动脉造影及介入栓塞是诊断和治疗急性下消化道大出血安全有效的方法。
Objective\ To discuss the diagnosis and therapy method of acute lower gastrointestinal massive hemorrhage.Methods\ 13 patients with acute lower gastrointestinal massive hemorrhage have been diagnosed and treated by selective angiography of celiacartery and interventional embolotherapy since Oct,1995.Results\ 14 times selective angiography of celiacartery were performed in 13 patients.12 were found the hemorrhage arteries and the positive rate is 92%.All hemorrhage patients were treated by interventional therapy(10 patients were treated by embolotherapy and 9 of them were cured successfully.1 patient was not because of extensive gatrointestinal tract bleeding.2 patients treated by drug perfusion also were cured.).No complications was observed.Conclusion\ The selective angiography of celiacartery and interventional embolotherapy is the safe and effective method in diagnosis and therapy of the acute lower gastrointestinal massive hemorrhage
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第2期89-91,共3页
Chinese Journal of Practical Surgery
关键词
下消化道出血
腹腔动脉造影
介入疗法
\ Lower gastrointestinal massive hemorrhage\ Angiography of celiacartery\ Interventional embolotherapy