中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
20期
118-119,120
,共3页
消化道出血%胃镜%介入治疗
消化道齣血%胃鏡%介入治療
소화도출혈%위경%개입치료
Hemorrhage of digestive tract%Gastroscopy%Interventional treatment
目的：回顾性分析上消化道溃疡顽固性出血患者诊疗过程，探讨多学科的联合救治模式。方法：收集上消化道顽固性出血患者16例，对其药物治疗的同时行急诊胃镜检查，诊断为上消化道溃疡、确定溃疡部位，并排除食管胃底静脉曲张破裂出血。DSA血管造影检查均为阴性，依据溃疡病灶的部位，超选择性插管明胶海绵颗粒栓塞相应部位的供血动脉。结果：所有患者15例治疗成功，1例病情进展。联合治疗模式总有效率93.75%，其中介入治疗有效率87.5%，外科治疗有效率50.0%。结论：内科治疗为基础，联合胃镜、介入治疗及外科手术的协作模式，可明显提高顽固性消化道出血的救治成功率。
目的：迴顧性分析上消化道潰瘍頑固性齣血患者診療過程，探討多學科的聯閤救治模式。方法：收集上消化道頑固性齣血患者16例，對其藥物治療的同時行急診胃鏡檢查，診斷為上消化道潰瘍、確定潰瘍部位，併排除食管胃底靜脈麯張破裂齣血。DSA血管造影檢查均為陰性，依據潰瘍病竈的部位，超選擇性插管明膠海綿顆粒栓塞相應部位的供血動脈。結果：所有患者15例治療成功，1例病情進展。聯閤治療模式總有效率93.75%，其中介入治療有效率87.5%，外科治療有效率50.0%。結論：內科治療為基礎，聯閤胃鏡、介入治療及外科手術的協作模式，可明顯提高頑固性消化道齣血的救治成功率。
목적：회고성분석상소화도궤양완고성출혈환자진료과정，탐토다학과적연합구치모식。방법：수집상소화도완고성출혈환자16례，대기약물치료적동시행급진위경검사，진단위상소화도궤양、학정궤양부위，병배제식관위저정맥곡장파렬출혈。DSA혈관조영검사균위음성，의거궤양병조적부위，초선택성삽관명효해면과립전새상응부위적공혈동맥。결과：소유환자15례치료성공，1례병정진전。연합치료모식총유효솔93.75%，기중개입치료유효솔87.5%，외과치료유효솔50.0%。결론：내과치료위기출，연합위경、개입치료급외과수술적협작모식，가명현제고완고성소화도출혈적구치성공솔。
To retrospective analysis the patients’treatment of intractable hemorrhage of in upper gastrointestinal ulcer,to explore combined treatment of multi discipline.Method:16 patients with intractable hemorrhage of upper gastrointestinal ulcer in our hospital were selected,adopted medication and emergency gastroscopy,which diagnosed upper gastrointestinal ulcer.Confirmed the ulcer location,and excluded the varicosis bleeding of esophagus and gastric.DSA angiography all showed negative.According to the position of ulcer lesion,using super-selective catheterization gelatin sponge to embolize the artery of relevant parts of the body.Result:In all 16 cases,the treatment was successful in 15 cases,1 case progressed.The total effective rate of combined treatment mode was 93.75%,thereinto, the interventional treatment effective rate was 87.5%,and the effective rate of surgical treatment was 50.0%.Conclusion:Medical cure as the basis,the cooperation mode of combined with gastroscopy,interventional treatment and surgical operation,which can significantly improve the treatment success rate of intractable hemorrhage of digestive tract.
