【摘要】 目的探讨DSA检查和栓塞治疗对急性消化道大出血的诊断和治疗价值。方法24例急性消化道出血患者行腹腔动脉、肠系膜上动脉、肠系膜下动脉造影,对可能出血部位再行超选择性插管造影,其中14例明确诊断并行栓塞治疗。结果24例中16例造影阳性,阴性8例。阳性者主要表现为对比剂外溢、动脉瘤、局部肿瘤血管及染色、动脉的侵蚀、局部血管痉挛等。其中14例接受了栓塞治疗,12例出血停止。30d内无复发出血,1例栓塞后次日死于多器官衰竭,1例栓塞3d后复发出血,经外科手术治疗痊愈。结论DSA检查对急性消化道大出血有较好的诊断效果,尤其是对血管性病变、肿瘤引起的消化道出血诊断效果好,栓塞治疗止血迅速有效。更多还原

【Abstract】 【0bjective】To evaluate the effect of digital subtraction angiography and interventional therapy in gastrointestinal hemorrhage. 【Methods】24 patients with acute gastrointestinal hemorrhage received selective arterial angiography of celiac trunk, superior mesenteric artery and inferior mesenteric artery. 14 patients with definite diagnosis and manifestation of hemorrhagic arteries by angiography were embolized after super selective catheterization. 【Results】The positive signs were observed in 16 cases. The DSA features include contrast medium accumulation in the gastrointestinal tract outside vascular, aneurysm, tumorous vascularization and staining, artery affect and local vasospasm. The bleedings were stopped immediately in 12 patients. No rebleeding and intestinal ischaemia or necrosis was observed in 30 days. One patient died in the second day after embolization for multiple organ failure. Rebleeding occurred 3 days after embolization in another patient, and then was recovered by surgical operation. 【Conclusions】DSA and intra-arterial embolization are effective and safe in the diagnosis and therapy for acute gastrointestinal tract bleeding.更多还原