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目的 探讨消化道出血的急诊介入治疗方法和价值。方法 对 6 1例消化道出血病例进行急诊血管造影 ,术中根据不同出血原因和部位 ,分别再采用动脉栓塞或 /和缩血管药物灌注治疗。结果 动脉栓塞治疗 2 9例 ,即时止血率为 10 0 % ,3例治疗 1周后再出血 ;缩血管药物灌注治疗 32例 ,即时止血率为 82 .7% ,2 5例 ( 78.13 % ) 48h后再出血。两种治疗术后病人均无严重并发症。结论 消化道出血在急诊血管造影的同时行动脉栓塞或缩血管药物灌注治疗是安全、有效的止血措施 ,缩血管药物灌注后出血复发率虽高 ,但能为临床进一步治疗争取时间。
Objective To investigate the method and value of emergency interventional treatment of gastrointestinal bleeding. Methods Emergency angiography was performed on 61 cases of gastrointestinal hemorrhage. According to different causes and sites of hemorrhage, arterial embolization and / or vasoconstrictor perfusion were used respectively. Results Arterial embolization was performed in 29 patients with immediate hemostasis rate of 10%. Three patients re-bleeding after one week of treatment. 32 patients were treated with vasoconstrictive drug infusion, with an immediate hemostasis rate of 82.7% and 25.5% (78.13%) for 48 hours After bleeding again. There was no serious complication after the two treatments. Conclusions Gastrointestinal bleeding is the safe and effective hemostatic measure while performing arterial embolization or vasoconstrictor drug infusion in emergency angiography. Although the recurrence rate of bleeding after vasoconstrictor drug infusion is high, it can gain time for clinical further treatment.