【摘要】 目的　评价胃切除术后大出血早期血管造影及介入栓塞治疗的效果。　方法　对 2 8例经血管造影及栓塞治疗胃切除术后大出血患者的临床资料进行回顾性分析。　结果　 2 8例患者中 ,治愈 2 6例 (93% ) ,无死亡 ,1例介入栓塞止血后再出血 ,1例未发现出血部位 ,1例并发腹痛 ,经保守治疗治愈。　结论　胃切除术后大出血行介入栓塞治疗是安全和有效的 ,能迅速明确出血部位及控制出血。介入治疗应及早进行 ,血管造影时机应在出血活动期 ,对效果不佳者 ,应适时手术。更多还原

【Abstract】 Objective To evaluate the efficacy of early superselective angiography and embolization in the diagnosis and treatment of massive bleeding after gastrectomy. Methods The clinical data of 28 patients with massive bleeding after surgery from 1980 to 2001 were retrospectively analysed. All patients underwent emergency angiography and 27 of them were treated by transcatheter embolization. Results Bleeding was controlled in 26 of the 28 patients (93%), recurrent bleeding occurred in 1, an recognized bleeding in 1, and abdominal pain in 1. There was no death. Conclusions Transarterial embolization for massive bleeding after gastrectomy is safe and effective. It is suggested that early emergency angiography should be considered in all patients with massive gastrointestinal bleeding after gastrectomy.更多还原