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目的 :探讨介入诊断和治疗对急性消化道出血的应用及其价值。方法 :急性消化道出血病例 3 4例 ,常规在腹腔动脉和肠系膜上、下动脉插管造影并作出出血的定位和定性诊断。造影后停留导管持续灌注垂体后叶素 ,或行栓塞治疗 ,追踪手术病理结果和观察止血情况。结果 :定位和定性诊断的准确率为 10 0 %。 2 3例行灌注 ,11例行栓塞治疗。 3 3例在介入治疗后止血 ,1例死亡。结论 :动脉造影是急性消化道出血最直观又最准确的诊断方法 ,介入灌注血管加压素和栓塞治疗安全有效 ,可作为外科手术的补充疗法。
Objective: To explore the application of interventional diagnosis and treatment of acute gastrointestinal bleeding and its value. Methods: Thirty-four cases of acute gastrointestinal hemorrhage were routinely catheterized in the superior and inferior arteries of the celiac artery and the superior mesenteric artery to make the localization and qualitative diagnosis of hemorrhage. After catheterization, the catheter was continuously perfused with vasopressin, or embolization was performed to track the surgical pathology and hemostasis. Results: The accuracy of localization and qualitative diagnosis was 100%. 2 3 routine perfusion, 11 routine embolization. Thirty-three patients stopped bleeding after intervention and one died. Conclusion: Arteriography is the most direct and accurate method for the diagnosis of acute gastrointestinal bleeding. It is safe and effective to use vasopressin and embolization. It can be used as a supplementary therapy for surgery.