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血管造影及介入治疗在消化道出血中的应用
引用本文:郝光,李俊,张传汶,李明军. 血管造影及介入治疗在消化道出血中的应用[J]. 山东医学高等专科学校学报, 2003, 25(4): 257-259
作者姓名:郝光  李俊  张传汶  李明军
作者单位:临沂市沂水中心医院,山东沂水,276400
摘    要:目的 探讨消化道出血的血管造影阳性发现率及介入治疗的疗效评价。方法 对21例消化道出血进行血管造影检查,对有阳性发现的病例行栓塞治疗或药物灌注治疗。结果21例动脉造影阳性发现16例,发现率76%。对10例行栓塞治疗,栓塞成功止血率100%,6例行药物灌注止血,3例止血,3例48h后再出血,行外科手术治疗。结论 动脉血管造影为消化道出血的有效检查方法,介入治疗为消化道出血止血的非手术性重要手段之一。

关 键 词:消化道出血 血管造影 药物灌注 栓塞治疗
文章编号:1001-5426(2003)04-0257-03
修稿时间:2003-05-11

ANGIOGRAPHY AND INTERVENTION IN THE TREATMENT OF HEMORRHAGE OF DIGESTIVE TRACT
HAO Guang,LI Jun,ZHANG Chuan-wen,et al. ANGIOGRAPHY AND INTERVENTION IN THE TREATMENT OF HEMORRHAGE OF DIGESTIVE TRACT[J]. Journal of Shandong Medical College, 2003, 25(4): 257-259
Authors:HAO Guang  LI Jun  ZHANG Chuan-wen  et al
Abstract:Objective To observe the curative effects of angiography and intervention in the treatment of hemorrhage of digestive tract.Methods 21 cases of hemorrhage of digestive tract received angiography.The positive cases were treated with embolism or perfusion of drugs.Results 16 cases in 21 cases(76%) were found to be positive.10 cases of them were treated with embolism and the rate of hemostasis was 100%.The other 6 cases underwent perfusion of drug.3 cases got complete hemostasis,and the other 3 cases suffered rebleeding 48 hours later and then underwent surgical treatments.Conclusion Angiography plays an important role in the detecation of hemorrhage of digestive tract.Intervention has been proven to be an important means of hemorrage of digestive tract.
Keywords:Hemorrhage of digestive tract  Angiography  Perfusion of drug  Embolism
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