Matolo N M, Link D P
Am J Surg. 1979 Dec;138(6):840-4. doi: 10.1016/0002-9610(79)90308-8.
Transcatheter embolization using Gelfoam plugs or autologous clot is an alternative or adjunct to the conventional management of gastrointestinal hemorrhage. During a 12 month period we successfully treated 10 patients who had massive gastrointestinal hemorrhage with selective embolization; 6 patients had upper gastrointestinal hemorrhage and 4 had bleeding from the colon. Most of these patients were critically ill and were poor surgical candidates. Hemorrhage was controlled by selective catheterization of the bleeding vessel, followed by injection of Gelfoam pledgets. Since the procedure was accomplished with ease and prolonged hemostasis obtained, we recommend it for gastrointestinal hemorrhage, especially in patients who are poor surgical risks or are unresponsive to vasopressin infusion, or both. Operative intervention for the primary disease could subsequently be performed electively, if necessary, days or weeks after transcatheter embolization.
使用明胶海绵栓子或自体血凝块进行经导管栓塞术是胃肠道出血传统治疗方法的一种替代或辅助手段。在12个月期间，我们通过选择性栓塞术成功治疗了10例发生大量胃肠道出血的患者；其中6例为上消化道出血，4例为结肠出血。这些患者大多数病情危急，不适合进行手术。通过对出血血管进行选择性插管，随后注入明胶海绵小块来控制出血。由于该操作简便易行且能实现持久止血，我们建议将其用于胃肠道出血，尤其是那些手术风险高或对血管加压素输注无反应或两者兼有的患者。如有必要，可在经导管栓塞术后数天或数周择期对原发性疾病进行手术干预。
