急性出血性疾病的血管造影及栓塞治疗分析

The Therapy with Angiography and Embolization to Treat Acute Haemorrhage Disease

目的分析和评价DSA血管造影及栓塞术在治疗出血性疾病中的作用。方法对20例患有出血性疾病的患者施行了血管造影及部分病例栓塞治疗。所有病例均行出血血管的超选择插管造影。其中13例病例使用明胶海绵颗粒和明胶海绵条栓塞治疗,其中3例用钢圈加固栓塞。2例行垂体后叶素加压止血治疗。结果 13例栓塞病例中有12例达到完全止血,支气管扩张出血的患者中有1例在术后1周发生了再次出血现象,对其又一次实行栓塞治疗,经过这次治疗痊愈出院,进行2~12个月的随访后都没有发生再次出血。实行垂体后叶素加压止血治疗的3个病例,当中在5d后实行外科手术治疗的有1例,另外2例出血停止。无1例严重并发症发生。结论 DSA血管造影及栓塞治疗对出血性疾病,可以达到明确诊断出血部位,并实施栓塞治疗,且疗效确切,不良反应少。

Objective To evaluate the function of DSA angiography and embolization in treating haemorrhage disease. Methods 35 cases of haemorrhage disease were conducted with angiography and some of them were conducted with embolization therapy. All the cases, selective angiography were conducted and 24 cases were treated with gelatin sponge and gelatin sponge tube embolization, among which 3 cases were fixed with rim and 2 cases were treated with posterior pituitrin to see the hemostasis effect. Results Among the 24 cases of embolization patients 22 cases were confirmed of total hemostasia, 2 cases of hemobilia patients were bleeding after 8 days of operation, but with less blood and were discharged after conservative therapy in department of internal medicine and without bleeding during the 2-14 months of follow-up observation. In the 2 cases of Posterior pituitrin treatment, one case was conducted surgery therapy after 4 day＇s operation, and the other one showed end of bleeding. 1 case showed no sign of abnormality and none of them has any implications. Conclusions DSA angiography and embolization in treating haemorrhage disease can go through bleeding part and conduct embolization directly, It has definitive effect and few side-effects were observed.