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目的分析介入治疗在上消化道重建术后急性出血的临床效果。方法 2013年1月至2015年12月对本院22例上消化道重建术后急性出血的患者进行血管栓塞或支架成形的介入止血治疗,其中胃十二指肠动脉出血11例,胰十二指肠下动脉出血5例,胰背动脉出血3例,肝总动脉出血2例,胃右动脉出血1例。结果 22例患者介入止血治疗均获成功,止血成功率100%,无一例死亡,术后随访5~24个月无复发出血。结论介入治疗上消化道重建术后急性出血具有安全、微创、止血迅速、并发症少、恢复快的优点。
Objective To analyze the clinical effect of interventional treatment on acute hemorrhage after upper gastrointestinal reconstruction. Methods From January 2013 to December 2015, 22 patients with acute hemorrhage after upper gastrointestinal reconstruction were treated with interventional hemostasis by embolization or stenting. Gastroduodenal artery hemorrhage was observed in 11 cases, pancreatic twelve 5 cases of bleeding under the intestine, 3 cases of pancreatic dorsal artery hemorrhage, 2 cases of common hepatic hemorrhage and 1 case of right gastric artery hemorrhage. Results Twenty-two patients were successfully treated by hemostasis. The success rate of hemostasis was 100%. None of them died. All patients were followed up for 5-24 months without recurrence of hemorrhage. Conclusion Interventional treatment of acute hemorrhage after upper gastrointestinal reconstruction has the advantages of safety, minimally invasive, rapid hemostasis, less complications and quick recovery.