急性动脉性消化道大出血的血管内栓塞治疗

摘要

目的 探讨数字减影血管造影(DSA)检查与血管内栓塞治疗对急性动脉性消化道大出血的临床意义.方法 对10例急性动脉性消化道大出血患者行DSA检查后,其中9例适宜行介入治疗的患者采用明胶海绵、弹簧圈经导管行血管内栓塞治疗.结果 10例患者中,8例DSA检查阳性,2例未见确切异常DSA征象.9例行血管内栓塞治疗,均止血成功,且无复发及明显并发症;另1例转外科急诊手术治疗,其外科术前定位准确.结论 急诊血管内栓塞治疗急性动脉性消化道大出血安全、可靠,疗效显著,且并发症发生率低.%Objective To explore the clinical significance of digital subtraction angiography ( DSA ) and endovascular embolization treatment in acute arterial gastrointestinal hemorrhage. Methods Ten cases of acute arterial gastrointestinal hemorrhage patients underwent DSA and 9 of them received subsequent intervention by gelatin sponge and coil transcatheter endovascular embolization. Results Of the 10 cases, 8 showed positive DAS results. Hemostatic success rate of the 9 cases treated by endovascular embolization was 100% , with no recurrence nor severe complications. The left one case underwent open surgery, with accurate preoperative localization. Conclusion With high reliability, high safety, low complication rate and remarkable effects, the treatment method of emergency endovascular embolization for acute arterial gastrointestinal hemorrhage is clinically preferable.