急诊介入治疗在出血病例中的临床应用

目的探讨急诊介入治疗在出血病例中的临床价值.方法对32例出血病例进行急诊血管造影,术中根据不同出血原因和部位分别再采用动脉栓塞或/和缩血管药物灌注治疗.结果动脉栓塞治疗28例,即时止血率为92.9%（26/28）,缩血管药物灌注治疗4例,即时止血率为50.0%（2/4）,本组总的即时止血率为87.5%（28/32）.结论各部位大出血在急诊血管造影的同时行动脉栓塞或缩血管药物灌注治疗是安全、有效的止血措施,具有非常重要的临床价值.

Clinical application of emergency interventional therapy in the cases of hemorrhage

Objective To study the value of emergency interventional therapy in the cases of hemorrhage. Methods 32 cases of hemorrhage accepted emergency angiography. According to positions and causes of bleeding during angiography, these patients accepted arterial embolization and/or perfusion of vasoconstrictor substance. Results In 28 cases accepted arterial embolization and 4 cases accepted peffusion of vasoconstrictor substance, the stoped bleeding immediately occurred in 92.9% and 50.0% respectively. Altogether the stoped bleeding immediately occurred in 87.5%. Conclusions The treatment of hemorrhage by arterial embolization or vasoconstrictor substance perfusion are safe and effective hemostatic ways in the patients with hemorrhage. It has very important clinical value.