【摘要】 目的通过对38例不同部位急性大出血患者行急诊栓塞止血的临床观察,评价急诊栓塞在抢救急性大出血患者中的价值。方法采用Seldinger技术先行选择性血管造影确定出血血管后,超选择插管至该血管。造影证实不存在共干、动静脉瘘、危险吻合后,以相应的栓塞材料包括无水乙醇、明胶海绵、钢圈、聚乙烯醇颗粒等行栓塞,间断造影至满意为止。结果所有患者在栓塞后当即止血,有效率100%,无器官坏死等并发症。结论急性大出血患者在行一般内科治疗的同时应尽快行栓塞治疗,其方法简单方便,能很快查明出血原因,明确出血部位,迅速有效止血。更多还原

【Abstract】 Objective To demonstrate the value of embolization in acute massive hemorrhage.Methods Thirty-eight patients with acute massive hemorrhage from different locations underwent transcatheter embolization with absolute alcohol gelfoam and coils by the seldinger’s technique and then the angiographies were performed intermittently until there was no appearance of hemorrhage.Results Hemostasis were occurred immediatly in all patients without other organic necrosis and other complication.The total effective rate was 100%.Conclusion Transcatheter embolization is a simple,safe and effective method for treating the patients with acute massive hemorrhage.更多还原