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腹腔脏器动脉瘤急性破裂引起上消化道出血极为罕见。该院３０多年来收治２３例，１２例为肝动脉瘤，９例胃十二指肠和胰十二指肠动脉瘤，肠系膜上动脉及其分支动脉瘤各１例。其中动脉瘤破裂入胆道内致出血１３例，而破裂入胃、上段空肠致出血者１０例．术前确诊困难，唯选择性腹腔动脉和（或）肠系膜上动脉造影最有价值．本组１５例术前由选择性动脉造影确诊．１６例经手术治疗，术后６例死亡。经动脉栓塞治疗３例．预后取决于动脉瘤的解剖关系和原发病．
Abdominal visceral aneurysm acute rupture of the upper gastrointestinal bleeding is extremely rare. In the hospital for more than 30 years, 23 cases were treated, including 12 cases of hepatic aneurysms, 9 cases of gastroduodenal and pancreatic duodenal aneurysms, and 1 case of superior mesenteric artery and its branch aneurysms. Among them, 13 cases of hemorrhage caused by ruptured aneurysm into the biliary tract and 10 cases of hemorrhage due to rupture into the stomach and upper jejunum. Preoperative diagnosis is difficult, but selective celiac artery and/or superior mesenteric artery angiography is the most valuable. This group of 15 patients were diagnosed by selective arteriography before surgery. 16 cases were treated by surgery and 6 cases died after surgery. Transcatheter arterial embolization in 3 cases. The prognosis depends on the anatomy of the aneurysm and the primary disease.