介入治疗消化道出血35例分析

Interventional therapy for digestive tract hemorrhage: report of 35 cases

摘要: 目的:探讨导管介入治疗消化道出血的疗效及价值。方法:35例均行动脉造影,灌注凝血酶针+明胶海绵栓塞,确诊有门静脉高压者21例行胃冠状静脉栓塞术(PTVE)、脾动脉部分栓塞术(PSE),不明原因出血6例,单纯动脉内灌注凝血酶针。结果:所有患者均达到有效的止血效果。结论:经动脉灌注凝血酶、灌注+栓塞、PTVE及PSE为消化道出血患者提供了有效可行的治疗方案。

Abstract: Objective: To evaluate the efficacy of interventional therapy for treatment of digestive tract hemorrhage.Methods: All the 35 patients were performed arterial digital subtraction angiography,infused reptilase and embolized with gelfoam.Twenty-one cases with portal hypertension underwent percutaneous vena embolization or (and)partial splenic artery embolization;6 cases of obscure tract hemorrhage received perfusion of reptilase in artery only.Results: The bleeding was stopped in all the cases.Conclusions: The procedures of arterial perfusion,perfusion plus embolization,percutaneous vena embolization and partial spleen embolization are effective for treatment of digestive tract hemorrhage.