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介入技术在Dieulafoy病致急性上消化道大出血治疗中的应用
引用本文:魏宁,祖茂衡,徐浩,沈剑敏,王林友.介入技术在Dieulafoy病致急性上消化道大出血治疗中的应用[J].当代医学,2010,16(23):475-477.
作者姓名:魏宁  祖茂衡  徐浩  沈剑敏  王林友
作者单位:江苏,221002,徐州医学院附属医院介入放射科;浙江,318000,台州市立医院介入放射科
摘    要:目的分析Dieulafoy病致急性上消化道大出血的机制和介入治疗效果及应用价值。方法 2例急性上消化道大出血患者,经胃镜和血管造影确诊为Dieulafoy病,经微导管行胃左动脉明胶海绵和弹簧钢圈栓塞。结果 2例动脉造影均表现为胃左动脉分支造影剂外溢,经栓塞后止血成功。结论 Dieulafoy病是急性上消化道大出血的少见和重要的原因,介入治疗是一种安全、有效的急诊抢救措施。

关 键 词:Dieulafoy病  上消化道出血  胃左动脉  介入治疗

Interventional therapy for acute massive upper gastrointestinal hemorrhage induced by Dieulafoy disease
Weining,Zumaoheng,Xuhao,Shenjianmin,Wanglinyou.Interventional therapy for acute massive upper gastrointestinal hemorrhage induced by Dieulafoy disease[J].Contemporary Medicine,2010,16(23):475-477.
Authors:Weining  Zumaoheng  Xuhao  Shenjianmin  Wanglinyou
Institution:Weining1,Zumaoheng1,Xuhao1,Shenjianmin2,Wanglinyou2 Department of interventional radiology,Affi liated hospital of Xuzhou Medical College,Xuzhou 221000 China Department of interventional radiology of Taizhou City HospitalTaizhou 318000 China
Abstract:Objective To study the pathogenesis of bleeding caused by Dieulafoy lesions and to probe the efficacy and clinical value of interventional therapy. Methods Two cases definitely diagnosed with Dieulafoy disease suffering from acute massive upper gastrointestinal hemorrhage received endoscopic examination and angiography,which were treated by superselective intraarterial embolization with gelfoam particles and spring steel coils in left gastric artery. Results Extravasation of contrast media on angiograms wer...
Keywords:Dieulafoy disease  Upper gastrointestinal hemorrhage  Left gastric artery  Interventional therapy  
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