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急性动脉性消化道大出血的血管内栓塞治疗
引用本文:罗应斌,张翊文,吴波,付慧,张吉美.急性动脉性消化道大出血的血管内栓塞治疗[J].中国全科医学,2011,14(30).
作者姓名:罗应斌  张翊文  吴波  付慧  张吉美
作者单位:铜仁地区人民医院放射科,贵州省铜仁市,554300
摘    要:目的探讨数字减影血管造影(DSA)检查与血管内栓塞治疗对急性动脉性消化道大出血的临床意义。方法对10例急性动脉性消化道大出血患者行DSA检查后,其中9例适宜行介入治疗的患者采用明胶海绵、弹簧圈经导管行血管内栓塞治疗。结果 10例患者中,8例DSA检查阳性,2例未见确切异常DSA征象。9例行血管内栓塞治疗,均止血成功,且无复发及明显并发症;另1例转外科急诊手术治疗,其外科术前定位准确。结论急诊血管内栓塞治疗急性动脉性消化道大出血安全、可靠,疗效显著,且并发症发生率低。

关 键 词:消化道大出血  动脉  血管造影术  数字减影  栓塞  治疗性  

The Treatment of Acute Arterial Gastrointestinal Hemorrhage by Endovascular Embolization
LUO Ying-bin,ZHANG Yi-wen,WU Bo,et al..The Treatment of Acute Arterial Gastrointestinal Hemorrhage by Endovascular Embolization[J].Chinese General Practice,2011,14(30).
Authors:LUO Ying-bin  ZHANG Yi-wen  WU Bo  
Institution:LUO Ying-bin,ZHANG Yi-wen,WU Bo,et al.Department of Radiology,People's Hospital of Tongren District,Tongren 554300,China
Abstract:Objective To explore the clinical significance of digital subtraction angiography(DSA) and endovascular embolization treatment in acute arterial gastrointestinal hemorrhage.Methods Ten cases of acute arterial gastrointestinal hemorrhage patients underwent DSA and 9 of them received subsequent intervention by gelatin sponge and coil transcatheter endovascular embolization.Results Of the 10 cases,8 showed positive DAS results.Hemostatic success rate of the 9 cases treated by endovascular embolization was 100%...
Keywords:Gastrointestinal hemorrhage  Arterial  Angiography  digital subtraction  Enbolization  therapeutic  
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