急性消化道出血血管造影与介入治疗价值

Yiyi He,Desheng Zhang,Changlu Yu,Weiguo Dong,Tao Wang,Bing Qi,Mengrui Sun,Jinhua Li,Zhichao Kan,Huizhen ZHANG,Fengmei Wang,Huijun Sun,Lang XIAO, Yi Wang

JOURNAL OF PRACTICAL MEDICAL IMAGING（2005）

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Abstract

目的评价急性消化道出血血管造影的诊断价值及介入治疗疗效.方法47例急性消化道出血,经动脉血管造影41例发现出血部位(87.2%).6例手术治疗,1例保守治疗,4例食管胃底静脉出血另行处理,30例进行介入治疗,9例灌注加压素,21例进行栓塞治疗.结果随访1个月～3个月,7例复发出血(2例手术切除,1例内科治疗,4例病死),23例治愈(76.6%).结论急性消化道出血血管造影,可发现内窥镜和其他检查方法不能发现的出血部位,介入治疗是一种安全、微创、有效的治疗方法,亦能为手术做好准备.

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