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胃肠道急性出血的介入治疗

Interventional therapy for acute hemorrhage in gastrointestinal tract.

作者信息

Wang Hong-Hui, Bai Bin, Wang Kai-Bing, Xu Wei, Ye Yuan-Shu, Zhang Wei-Feng

机构信息

Department of Radiology, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, Medical China.

出版信息

World J Gastroenterol. 2006 Jan 7;12(1):134-6. doi: 10.3748/wjg.v12.i1.134.

DOI:10.3748/wjg.v12.i1.134
PMID:16440433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4077477/
Abstract

AIM

To evaluate the diagnostic angiography and therapy for acute massive hemorrhage in gastrointestinal tract.

METHODS

Twenty-five cases of acute hemorrhage in gastrointestinal tract admitted between April 2002 and September 2004 were reviewed and analyzed by angiography and embolotherapy.

RESULTS

Fifteen patients were men and ten patients were women. The Seldinger technique and method of coaxial duct were used to get access to the bleeding region. PVA particles, gelfoam, and coils were used for embolism. All bleeding sites could be confirmed and were successfully embolized. Hemostasis was achieved in all the patients without bleeding again. The cure rate was 100%.

CONCLUSION

Interventional therapy can not only ascertain the bleeding site, but also stop the bleeding . The method is simple and the effect is certain.

摘要

目的

评估胃肠道急性大出血的诊断性血管造影及治疗方法。

方法

回顾性分析2002年4月至2004年9月收治的25例胃肠道急性出血患者，采用血管造影及栓塞治疗。

结果

男性15例，女性10例。采用Seldinger技术及同轴导管法进入出血部位。使用聚乙烯醇颗粒、明胶海绵及弹簧圈进行栓塞。所有出血部位均能明确并成功栓塞。所有患者均止血成功，无再次出血，治愈率为100%。

结论

介入治疗不仅能确定出血部位，还能止血。该方法操作简单，效果确切。