【摘要】 目的探讨介入治疗急性大出血的临床应用价值。方法 25例患者,根据出血部位的不同:动脉性出血造影明确诊断后对靶血管用PVA颗粒、明胶海绵或弹簧圈进行栓塞治疗;门脉高压性出血根据患者情况分别行TIPS分流术,经皮肝穿胃冠状静脉栓塞术和(或)部分脾栓塞术。结果介入治疗急性大出血的有效率为84%(21/25),术后随访3个月至1年,有2例复发(2/25)。结论介入治疗是一种安全、高效、简便、损伤小的治疗方法,对急性大出血有很好的临床应用价值。更多还原

【Abstract】 Objective To evaluate the interventional therapy in treating acute massive hemorrhage.Methods Twenty-five patients with acute massive hemorrhage were enrolled in this study.After the diagnosis was confirmed with angiography,interventional embolization was performed with polyvinyl alcohol(PVA),Gelfoam or spring coils according to the bleeding sites.For the bleeding caused by portal hypertension,transjugular intrahepatic portosystemic stent shunt,or percutaneous transhepatic embolization of coronary vein of stomach and /or partial splenic embolization were carried out based on the patient’s condition.Results The total effective rate of interventional therapy for acute massive hemorrhage was 84%(21 /25).During the follow-up period of 3 months to two years hemorrhage reappeared in two cases(2 /25).Conclusion Interventional therapy is a safe,effective,simple and less invasive technique,which is very useful in treating acute massive hemorrhage.更多还原