【摘要】 目的:探讨介入栓塞治疗在急诊急性大出血中的疗效及安全性。方法:收集2008年—2014年我科行急诊介入治疗的各种急性大出血病例218例,通过数字减影血管造影技术(DSA)血管造影明确出血血管后,超选择至出血血管,应用明胶海绵颗粒、弹簧圈等栓塞剂进行栓塞。结果:218例急性大出血患者中有206例明确出血动脉,行栓塞治疗,10例消化道大出血病例未找到明确出血动脉,只对可疑动脉进行了血管收缩剂灌注治疗,2例大咯血病例未找到支气管动脉而治疗失败。206例介入治疗后治愈182例,显效24例。无严重并发症发生。结论:介入诊疗术是急性动脉性出血的一种简便、微创、安全、确切有效的诊断和治疗方法,值得在临床推广应用。更多还原

【Abstract】 Objective: To investigate the efficacy and safety of interventional embolization in emergency treatment of acute hemorrhage. Methods: Of 218 inpatients with acute hemorrhage in our department from 2008 to 2014 were identified the bleeding blood vessels by DSA angiography,and superselective embolization by embolization agents such as gelatin sponge particles,spring coil were conducted. Results: 206 cases in 218 patients were identified the bleeding blood vessels and conducted the embolization; 10 cases of gastrointestinal hemorrhage were identified the bleeding blood vessels and conducted vasoconstrictor infusion therapy for suspected arterial,2 cases of massive hemoptysis were not indentified the bleeding bronchial arteries and treated unsuccessfully. Of 206 cases of interventional therapy,182 cases were cured,24 cases were markedly improved. No serious complications occurred. Conclusion: Interventional diagnosis and treatment technique for acute arterial hemorrhage is a simple,minimally invasive,safe,exact and effective technique,and worth for popularizing in clinical application.更多还原