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急性胃肠道出血在临床上很常见,病死率可高达6~10%。对出血部位和病变性质作出迅速而正确的诊断是决定选用疗法的前提。腹部选择性血管造影(以下简称血管造影)是近年来发展起来的一项新技术,对急性胃肠道出血的诊断和治疗具有重要意义。本文就血管造影对急性胃肠道出血部位和病因的诊断、经血管导管灌注药物、选择性血管栓塞疗法以及血管造影的并发症和局限性等问题作一简述。血管造影对出血部位和病因的诊断
Acute gastrointestinal bleeding is clinically common, case fatality rate can be as high as 6 to 10%. Rapid and correct diagnosis of the site of bleeding and the nature of the lesion are the prerequisites for the choice of therapy. Abdominal selective angiography (hereinafter referred to as angiography) is a new technology developed in recent years, the diagnosis and treatment of acute gastrointestinal bleeding is of great significance. In this paper, angiography on the diagnosis of acute gastrointestinal bleeding site and etiology, catheterization of drugs, selective vascular embolization and angiography complications and limitations such as a brief review. Angiography of the bleeding site and the diagnosis of the cause