当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
25期
46-47
,共2页
消化道大出血%介入治疗%药物灌注%栓塞
消化道大齣血%介入治療%藥物灌註%栓塞
소화도대출혈%개입치료%약물관주%전새
Digestive tract hemorrhage%Interventional treatment%Perfusion therapy%Embolization
目的探讨急性消化道大出血的介入治疗价值。方法46例急性消化道大出血患者，15例行出血靶动脉药物灌注血管加压素治疗，29例行出血动脉栓塞治疗。2例血管造影无阳性发现。对44例介入治疗患者，灌注血管加压素和出血动脉栓塞治疗，比较治疗前后患者血压、血红蛋白及呕血、便血变化。结果治疗后患者血压、血红蛋白及呕血、便血均明显好转。结论急性消化道大出血靶动脉药物灌注血管加压素及出血动脉栓塞治疗安全、有效，是内科保守治疗无效或不宜行外科手术治疗的首选治疗方法。
目的探討急性消化道大齣血的介入治療價值。方法46例急性消化道大齣血患者，15例行齣血靶動脈藥物灌註血管加壓素治療，29例行齣血動脈栓塞治療。2例血管造影無暘性髮現。對44例介入治療患者，灌註血管加壓素和齣血動脈栓塞治療，比較治療前後患者血壓、血紅蛋白及嘔血、便血變化。結果治療後患者血壓、血紅蛋白及嘔血、便血均明顯好轉。結論急性消化道大齣血靶動脈藥物灌註血管加壓素及齣血動脈栓塞治療安全、有效，是內科保守治療無效或不宜行外科手術治療的首選治療方法。
목적탐토급성소화도대출혈적개입치료개치。방법46례급성소화도대출혈환자，15례행출혈파동맥약물관주혈관가압소치료，29례행출혈동맥전새치료。2례혈관조영무양성발현。대44례개입치료환자，관주혈관가압소화출혈동맥전새치료，비교치료전후환자혈압、혈홍단백급구혈、편혈변화。결과치료후환자혈압、혈홍단백급구혈、편혈균명현호전。결론급성소화도대출혈파동맥약물관주혈관가압소급출혈동맥전새치료안전、유효，시내과보수치료무효혹불의행외과수술치료적수선치료방법。
Objective To discuss the value of interventional treatment of emergent digestive tract hemorrhage. Methods 46 patients with emergent digestive tract hemorrhage were included. 15 of them were treated with vasopressin perfusion into target artery, and 29 patients underwent hemorrhagic artery embolization. Angiography of 2 other patients were negative. Blood pressure, hemoglobin, the symptoms including hematemesis or melena were compared before and after the intervention treatment. Results Blood pressure and hemoglobin after the treatment were stable than those before, and the symptoms of hematemesis or melena were released obviously.Conclusion Hemorrhagic artery vasopressin perfusion or embolization is safe and effective for emergent digestive tract hemorrhage, and could be the ifrst alternative for those who were not sensitive for expectant treatment or refused surgery.
