摘要
目的评价数字减影血管造影(DSA)诊断和介入治疗消化道出血的临床价值。方法消化道出血22例分别行腹主动脉、腹腔干、肠系膜上、肠系膜下动脉DSA检查。明确出血的血管行栓塞治疗,不宜栓塞的血管行垂体后叶素灌注治疗。结果 22例中19例血管有异常表现,检出率为86.36%,表现为造影剂外溢征10例、血管畸形6例、动脉瘤2例、肿瘤性出血1例。19例中行栓塞治疗12例,明确血管出血者10例,血管异常2例,完全止血率为96.30%;垂体后叶素灌注治疗7例,完全止血率为85.71%。DSA无血管异常表现的3例行垂体后叶素灌注,完全止血率为100.00%。结论 DSA对消化道出血具有较高的诊断价值;动脉栓塞或垂体后叶素灌注治疗消化道出血安全、可靠。
Objective To evaluate the efficacy of Digital Subtraction Angiography diagnosis and interventional treatment in gastrointestinal hemorrhage.Methods 22 patients with gastrointestinal hemorrhage underwent arteriography test of abdominal aorta,celiac trunk,superior mesenteric and inferior mesenteric respectively.The patients with definite hemorrhage confirmed by DSA received embolotherapy,and other patients received Vasopressin infusion.Results Of all the 22 patients,19 patients had abnormal blood vessel angiograms,and the positive rate of angiography in gastrointestinal hemorrhage was 86.36%.Among the 19 cases,10 cases of angiograms demonstrated contrast medium leakage,6 cases of vascular malformation,2 cases of aneurysm,and 1 case of neoplasm hemorrhage.In the 12 patients treated by transcatheter embolization,10 cases were definite hemorrhage,and 2 were abnormal vascular,and the complete hemostasis rate was 96.30%.Vasopressin infusion was done in 7 patients,and the complete hemostasis rate was 85.71%.3 patients of normal vascular diagnosed by DSA received Vasopressin infusion treatment,and the complete hemostasis rate was 100.00%.Conclusion DSA is a valuable method for the diagnosis of gastrointestinal hemorrage.Arterial embolization or Vasopressin infusion in treatment of hemorrhage is safe and effective.
出处
《解放军医药杂志》
CAS
2011年第2期58-59,共2页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
胃肠出血
血管造影术
数字减影
栓塞
治疗性
灌注
局部
Gastrointestinal hemorrhage
Angiography
digital subtraction
Embolization
therapeutic
Perfusion
regional
