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[消化器官出血的血管造影诊断与处理]

[Angiographic diagnosis and management of bleeding from the digestive organs].

作者信息

Taniguchi H, Yamaguchi A, Kunishima S, Ohbayashi T, Kitagawa K, Otsuji E, Kitamura K, Hagiwara A, Yamaguchi T, Sawai K

机构信息

First Department of Surgery, Kyoto Prefectural University of Medicine.

出版信息

Nihon Rinsho. 1998 Sep;56(9):2281-5.

PMID:9780706
Abstract

Gastrointestinal bleeding is recently seen less often by the angiographer. This is mainly due to advances in endoscopy, and nuclear medicine. When patients with gastrointestinal bleeding are referred, endoscopic diagnosis and therapy should be performed at first. However, when it is impossible to diagnose or to control the bleeding, angiography must be considered as soon as possible. Intra-abdominal bleeding should be diagnosed by angiography at first. In both cases, embolization is generally safe and effective depending on the advance of occlusive agents.

摘要

胃肠出血目前血管造影师较少见到。这主要归因于内镜检查和核医学的进展。当转诊胃肠出血患者时,应首先进行内镜诊断和治疗。然而,当无法诊断或控制出血时,必须尽快考虑血管造影。腹腔内出血应首先通过血管造影进行诊断。在这两种情况下,根据闭塞剂的进展情况,栓塞通常是安全有效的。

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