选择性腹腔动脉造影及介入栓塞在下消化道出血中的应用价值

The value of selective angiography of celiacartery and interventional embolotherapy in diagnosis and therapy of acute lower gastrointestinal massive hemorrhage.

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