摘要
目的:评价选择性血管造影在急性消化道大出血(AMHDT)中的诊治价值。方法:对26例AMHDT病人进行了选择性血管造影,并作经导管灌注止血药或行栓塞术治疗。结果:26例病人共作29次造影,出现异常征象者21例,其中造影剂外溢者10例,造影剂外溢加血管形态改变者7例,显示血管形态改变者4例,出血诊断率为 80％。10例经手术探查,9例手术病理证实符合血管造影定位诊断;16例行非手术止血。结论:选择性血管造影是一种简便的、能正确诊断AMHDT部位和原因的方法,还具有治疗作用,是首选诊治方法。
Objective : to evalute the value selective angiography(SAG) in the diagnosis and treatment to the acute massive hemorrhage in the diagestive tract (AIVIHDT). Methods : 26 cases were performed with SAG and were treated using infusion with mdicine for arresting bleeding or embolizaton through the Catheter. Results :29 times of SAG were performed in 26 cases. There was abnormal signs in 21 cases. Constrast-medium was flowed out in 10 cases, Constrast-medium was flowed out and the vascular form has changed in 7 cases. The Vascular form has changed in 4 cases. The diagnostic rate of hemorrhage was 80%. In 10 cases, surgical operation were performed for investigation. The results of operation and pathologic findings were proved that it conformed to the diagnosis of location by SAG. 16 cases has stopped bleeding through non-operation . Conclusion: SAG is not only a simple and correct method in the diagnosis of location and causes of AMHDT, but also has the function of treatment. Therefore, SAG is the first method of diagnosis and treatment.
