消化道出血的动脉造影表现

Angiographic findings in acute massive nonvariceal gastrointestinal bleeding

关键词:  动脉造影  消化道出血  诊断

Key words:  angiogram  gastrointestinal bleeding  diagnosis

摘要:

［目的］总结消化道出血的造影表现。［方法］为明确出血部位或准备行栓塞治疗，对消化道大出血患者34例进行动脉造影。行腹腔动脉，肠系膜上动脉，肠系膜下动脉，双侧髂内动脉造影。［结果］造影阳性18例，占52.9%。均准确提示病变位置。［结论］对于内科保守治疗无效的动脉性出血的患者可进行动脉造影，明确出血部位，为外科手术或经导管栓塞治疗提供帮助，是安全有效的检查方法。

Abstract:

［Objective］To analyze the angiographic findings in acute massive nonvariceal gastrointestinal bleeding.［Methods］analyzed the findings of 34 episodes of angiography in acute massive nonvariceal gastrointestinal bleeding during the period from 1998 to 2003. All patients underwent angiography for localizing bleeding or possible transcatheter therapy. The superior mesenteric, inferior mesenteric, and celiac arteries were examined. Superselective catheterization was performed when necessary. Subtraction technique was used in all patients.［Results］Eighteen cases (52.9%) were positive. Sites of bleeding were showed clearly.［Conclusions］For acute massive nonvariceal gastrointestinal bleeding resistant to expectant treatment, angiography is a safe and effective means of diagnosis in patients with gastrointestinal haemorrhage. It enables doctors to perform a local resection of the bleeding bowel segment or embolize bleeding artery.