Bagdasarov V V, Bagdasarova E A, Chernookov A I, Ataian A A, Karchevskiĭ E V, V D
I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
Khirurgiia (Mosk). 2016(2):45-50. doi: 10.17116/hirurgia2016245-50.
To present possibilities of transcatheter arterial embolization (TAE) in duodenal bleeding management.
Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE.
Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014.
TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.
探讨经导管动脉栓塞术（TAE）在十二指肠出血治疗中的应用可能性。
分析2012年至2014年期间212例急性十二指肠出血患者的治疗情况。研究组中32例（22.5%）患者出血复发或存在高出血风险，这些情况是进行TAE的指征。
2012年至2014年期间，上消化道出血的手术策略发生了改变，包括优化内镜止血、广泛应用TAE以及手术操作的大幅减少，使得总体死亡率降至1.6%。
TAE在控制出血方面有效，尤其在高风险和老年患者中可降低死亡率。
