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针对源自胃血管发育异常的大量上消化道出血进行选择性栓塞治疗。

Selective embolization for massive upper gastrointestinal bleeding deriving from gastric angiodysplasia.

作者信息

Vrakas G, Pramateftakis M-G, Raptis D, Kanellos D, Kanellos I

机构信息

European Medical Center, Thessaloniki, Greece.

出版信息

J Surg Case Rep. 2012 Mar 1;2012(3):11. doi: 10.1093/jscr/2012.3.11.

DOI:10.1093/jscr/2012.3.11
PMID:24960815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649508/
Abstract

Transcatheter arterial embolization is a valuable, minimally invasive method, used as treatment for upper gastrointestinal bleeding, after failed primary endoscopic approach. It is a safe and effective procedure, but it's use is limited because of relatively high rates of rebleeding and mortality. The aim of this paper is to present a case of severe, massive upper gastrointestinal bleeding deriving from gastric angiodysplasia, which was treated successfully with superselective embolization. The patient recovered from the haemorrhagic shock and avoided emergency surgical intervention.

摘要

经导管动脉栓塞术是一种有价值的微创方法，用于在初次内镜治疗失败后治疗上消化道出血。它是一种安全有效的手术，但由于再出血和死亡率相对较高，其应用受到限制。本文的目的是介绍一例因胃血管发育异常导致的严重大量上消化道出血病例，该病例通过超选择性栓塞术成功治疗。患者从失血性休克中康复，避免了紧急手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d77/3649508/d453d3f4715d/jscr-2012-3-11fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d77/3649508/bb283a2496a1/jscr-2012-3-11fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d77/3649508/d453d3f4715d/jscr-2012-3-11fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d77/3649508/bb283a2496a1/jscr-2012-3-11fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d77/3649508/d453d3f4715d/jscr-2012-3-11fig2.jpg

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本文引用的文献

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Microcoil embolization for acute lower gastrointestinal bleeding.微线圈栓塞术治疗急性下消化道出血
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Embolization as a first approach with endoscopically unmanageable acute nonvariceal gastrointestinal hemorrhage.对于内镜下难以处理的急性非静脉曲张性胃肠道出血，栓塞作为首选方法。
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Gastroenterology. 1979 Jul;77(1):1-11.