中华普通外科学文献(电子版)
中華普通外科學文獻(電子版)
중화보통외과학문헌(전자판)
CHINESE JOURNAL OF GENERAL SURGERY(ELECTRONIC VERSION)
2013年
6期
455-457
,共3页
陈燕浩%谭国胜%殷云志%金朝林%张树桐
陳燕浩%譚國勝%慇雲誌%金朝林%張樹桐
진연호%담국성%은운지%금조림%장수동
消化道出血%血管造影术%数字减影%介入治疗
消化道齣血%血管造影術%數字減影%介入治療
소화도출혈%혈관조영술%수자감영%개입치료
Gastrointestinal hemorrhage%Angiography%Digital subtraction%Interventional therapy
目的:探讨急性消化道出血的DSA诊断价值与治疗疗效。方法搜集不明原因的消化道出血25例,均行DSA检查,对于阳性患者进行明胶海绵栓塞+垂体后叶素灌注治疗。结果 DSA检查发现阳性患者18例,阳性率为72%,直接发现出血点10例,行明胶海绵栓塞+垂体后叶素灌注治疗,怀疑出血点8例,行垂体后叶素灌注治疗。其中胃十二指肠区域出血患者6例,其余小肠区域出血9例,结直肠出血3例;溃疡疾病导致出血5例,肿瘤性病变2例,憩室1例,血管性病变4例,吻合口出血6例。术后再出血3例,内科继续保守止血治疗4例,外科手术治疗6例。结论介入治疗方法作为一种行之有效的微创治疗方法值得推广。
目的:探討急性消化道齣血的DSA診斷價值與治療療效。方法搜集不明原因的消化道齣血25例,均行DSA檢查,對于暘性患者進行明膠海綿栓塞+垂體後葉素灌註治療。結果 DSA檢查髮現暘性患者18例,暘性率為72%,直接髮現齣血點10例,行明膠海綿栓塞+垂體後葉素灌註治療,懷疑齣血點8例,行垂體後葉素灌註治療。其中胃十二指腸區域齣血患者6例,其餘小腸區域齣血9例,結直腸齣血3例;潰瘍疾病導緻齣血5例,腫瘤性病變2例,憩室1例,血管性病變4例,吻閤口齣血6例。術後再齣血3例,內科繼續保守止血治療4例,外科手術治療6例。結論介入治療方法作為一種行之有效的微創治療方法值得推廣。
목적:탐토급성소화도출혈적DSA진단개치여치료료효。방법수집불명원인적소화도출혈25례,균행DSA검사,대우양성환자진행명효해면전새+수체후협소관주치료。결과 DSA검사발현양성환자18례,양성솔위72%,직접발현출혈점10례,행명효해면전새+수체후협소관주치료,부의출혈점8례,행수체후협소관주치료。기중위십이지장구역출혈환자6례,기여소장구역출혈9례,결직장출혈3례;궤양질병도치출혈5례,종류성병변2례,게실1례,혈관성병변4례,문합구출혈6례。술후재출혈3례,내과계속보수지혈치료4례,외과수술치료6례。결론개입치료방법작위일충행지유효적미창치료방법치득추엄。
Objective To explore the diagnostic value and effects of digital subtraction angiography (DSA) for acute gastrointestinal hemorrhage. Methods Twenty-five patients of gastrointestinal hemorrhage of unknown reasons were examined by DSA , and the positive ones were treated by the gelfoam embolization combined with pituitrin infusion. Results Eighteen of the twenty-five patients showed positive signs, taking up the rate of 72%. Ten patients, directly found the petechiae, were treated by gelfoam embolization combined with pituitrin infusion embolization. Eight cases of suspected petechiae were given pituitrin infusion treatment. Six patients were hemorrhage of gastroduodenal, 9 of the rest of small intestine, 3 of colon and rectum. 5 cases were caused by the hemorrhage of ulcer disease, 2 by neoplastic lesions, 1 by diverticulum, 4 by vascular lesions, and 6 by anastomotic hemorrhage. Postoperative hemorrhage was found in 3 patients. Four cases were still given conservative medical treatment, and 6 of surgery. Conclusion DSA, an effective and minimally invasive interventional treatment, is worth generalizing on clinic.