[早期超选择性血管造影及经动脉栓塞治疗胃癌切除术后大出血]
[Early superselective angiography and transarterial embolization for massive bleeding after gastrectomy].
作者信息
Qu Xin-cai, Zheng Qi-chang, Yu Jian-ming, Lu Xiao-ming, Zhang Shou-xi, Chen Dao-da
机构信息
Department of General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2003 May;41(5):379-81.
OBJECTIVE
To evaluate the efficacy of early superselective angiography and embolization in the diagnosis and treatment of massive bleeding after gastrectomy.
METHODS
The clinical data of 28 patients with massive bleeding after surgery from 1980 to 2001 were retrospectively analysed. All patients underwent emergency angiography and 27 of them were treated by transcatheter embolization.
RESULTS
Bleeding was controlled in 26 of the 28 patients (93%), recurrent bleeding occurred in 1, an recognized bleeding in 1, and abdominal pain in 1. There was no death.
CONCLUSIONS
Transarterial embolization for massive bleeding after gastrectomy is safe and effective. It is suggested that early emergency angiography should be considered in all patients with massive gastrointestinal bleeding after gastrectomy.
目的
评估早期超选择性血管造影及栓塞术在胃切除术后大出血诊断及治疗中的疗效。
方法
回顾性分析1980年至2001年间28例胃切除术后大出血患者的临床资料。所有患者均接受了急诊血管造影，其中27例接受了经导管栓塞治疗。
结果
28例患者中26例（93%）出血得到控制，1例复发出血，1例出现不明原因出血，1例出现腹痛。无死亡病例。
结论
胃切除术后大出血的经动脉栓塞术安全有效。建议对所有胃切除术后发生大出血的患者考虑早期急诊血管造影。
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