【摘要】 目的探讨急诊血管造影及动脉栓塞对消化道出血的诊治价值。方法对 1988年 5月至 2 0 0 1年 7月临床收治的 78例消化道大出血患者应用Seldinger法经皮股动脉穿刺插管 ,将导管超选至出血动脉 ,经导管注入明胶海绵颗粒 ,共栓塞 86根动脉 ,其中胃左动脉 4根、胃十二指肠动脉2 1根、肠系膜上下动脉分支 5 9根、隔动脉 1根及肝动脉 1根。全部患者随访 1～ 10年。结果技术成功率 10 0 % (86 /86 ) ,立即止血 10 0 % (78/78) ,2 0 5 % (16 /78)复发出血。 78例患者中 71例出现腹痛、4 9例腹胀等轻微合并症。无胃肠道坏死穿孔等严重并发症发生。结论　经导管动脉栓塞治疗急性消化道大出血 ,定位准确、安全有效 ,同时为外科手术争取了时间。更多还原

【Abstract】 Objective To discuss the value of transcatheter artery embolization for the treatment of GI massive hemorrhage. Methods Seventy-eight GI massive bleeding cases underwent emergency angiography. Intraarterial embolization was performed in 86 arteries of the 78 patients. All patients were followed up for 1 to 10 years. Results Bleeding stopped immediately in 100% of the patients. Bleeding recurred in 16 cases from 48 hours to 37 monthes. Conclusion Arterial embolization for digestive tract bleeding is safe and effective during emergency angiography to buy a time for definite treatment for some patients.更多还原