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目的：评价经导管动脉栓塞（TAE）治疗动脉性消化道大出血（AHDT）的疗效及安全性。方法：32例经保守治疗未能止血而不能耐受急诊手术的AHDT患者接受了TAE治疗。根据临床拟诊分别行腹腔动脉、肠系膜上动脉、肠系膜下动脉或双侧髂内动脉造影，并超选择性插管入靶动脉行TAE术，栓塞剂为明胶海绵或不锈钢弹簧圈，重复造影证实靶动脉闭塞后拔管。结果：全组无异位栓塞，止血总成功率为94％（29／32），2例死于严重休克所致多器官功能衰竭，1例出现轻度腹膜炎，2例曾有一过性肝功能损害。结论：TAE是治疗AHDT安全有效的措施。
Objective: To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) in the treatment of arterial gastrointestinal hemorrhage (AHDT). METHODS: TAE was given to 32 AHDT patients who had undergone conservative treatment of hemostasis but were unable to tolerate emergency surgery. According to the clinical diagnosis of celiac artery, superior mesenteric artery, inferior mesenteric artery or bilateral iliac artery angiography, and ultra-selective intubation into the target artery TAE surgery, embolization agent for the gelatin sponge or stainless steel coil, repeated imaging confirmed Target artery extubation after occlusion. Results: In the whole group, the total success rate of hemostasis was 94% (29/32) without ectopic embolization, 2 cases died of multiple organ failure due to severe shock, 1 case had mild peritonitis and 2 cases had transient liver function damage. Conclusion: TAE is a safe and effective treatment for AHDT.