【摘要】 目的 :探讨动脉造影和栓塞对急性动脉性上消化道出血的治疗作用。方法 :对46例急性动脉性上消化道出血患者行动脉造影,应用明胶海绵微粒或弹簧圈栓塞治疗。结果:直接出血征象34例,间接出血征象12例,栓塞止血成功率91.3%(42/46),术后30 d内再出血率19.0%(8/42),其中出现间接出血征象患者再出血率25.0%(3/12)。46例术后30 d存活率87.0%(40/46)。结论:经导管栓塞治疗急性动脉性上消化道出血安全有效,细致的腹腔动脉造影与恰当的靶血管栓塞是提高止血成功率的关键。更多还原

【Abstract】 Objective:To evaluate celiac angiography and transcatheter arterial embolization(TAE) in treating acute nonvariceal upper gastrointestinal hemorrhage. Methods:Angiography and TAE were performed in 46 patients with acute nonvariceal upper gastrointestinal hemorrhage,using gelfoam paticles or steel coils as embolic agents. Results:34 cases were of direct sign of hemorrhage,12 cases were of indirect sign of hemorrhage,and the ratio of embolic hemostasis was 91.3%(42/46). Recurrent bleeding occurring within 30 days was 19%(8/42),recurrent bleeding in patients with indirect sign was 25%(3/12).The30-day survival rate was 87%(40/46).Conclusion:Transcatheter arterial embolization is a safe and effective procedure for acute nonvariceal upper gastrointestinal hemorrhage. Detailed celiac angiography and suitable use of embolization agents is the key to improve the success rate of hemostasis.更多还原