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近年来,应用选择性腹部动脉造影(下称动脉造影),诊断疑为小肠反复出血19例,结果14例有阳性发现,12例经手术或/和病理证实,病因明确.动脉造影阳性患者男10例,女4例,年龄25～71岁,出血次数2～20余次,平均5.6次,病程2月～10年,平均33.8月.主要表现为黑便7例,黑便或暗红色糊状便3例,暗红色糊状便2例,棕色便1例,呕血伴黑便1例.急诊胃镜14例,结肠镜11例,钡餐9例,小肠钡灌4例,结肠钡灌7例,检查均无异常发现.具备以下条件之一者为动脉造影对象:(1)急诊胃镜、胃肠X线造影及纤维肠镜检查不能明确出血原因者;(2)临床考虑病变位于十二指肠降部以下,内镜不能到达者.动脉造影方法:采用Seldinger经皮股动脉穿刺导管置入法.造影结果诊断:空肠动静
In recent years, the application of selective abdominal arteriography (hereinafter referred to as arteriography), the diagnosis of suspected small intestine repeated hemorrhage in 19 cases, the results of 14 cases were positive, 12 cases were confirmed by surgery or / and pathology, the etiology clear.Arterography positive male 10 cases, 4 females, aged 25 to 71 years old, the number of bleeding more than 2 to 20 times, an average of 5.6 times, duration of 2 months to 10 years, an average of 33.8 months.The main manifestations of melena in 7 cases, black or dark red paste Like in 3 cases, dark red paste in 2 cases, brown in 1 case, hematemesis with melena in 1 case.Final gastroscopy in 14 cases, 11 cases of colonoscopy, barium meal in 9 cases, 4 cases of small bowel irrigation, colon barium irrigation in 7 cases , One of the following conditions for angiography objects: (1) emergency gastroscopy, gastrointestinal X-ray angiography and fibroids enteroscopy can not be clearly the cause of bleeding; (2) clinical considerations lesions located in the twelfth finger Below the descending part of the bowel, endoscopy can not be reached. Arteriography method: Seldinger percutaneous femoral artery catheterization method. Diagnostic imaging results: Jejunum movement