论文部分内容阅读
目的分析研究血管造影诊断与介入治疗在消化道出血中的临床效果及运用价值。方法 43例消化道出血患者,对其进行血管造影诊断,并根据诊断结果选择针对不同出血部位的介入治疗。对上述患者出血部位、诊断后治疗方法、效果及并发症发生情况进行分析。结果 43例患者经血管造影诊断后,进行动脉栓塞治疗34例(79.07%),进行注射加压素治疗9例(20.93%);止血成功38例,无效5例,止血成功率为88.37%;经治疗,43例患者均未出现肠管坏死或穿孔、肝功能衰竭、心律失常等严重并发症;34例动脉栓塞患者中1例出现弹簧圈异位,发生率为2.33%。结论血管造影诊断与介入治疗在消化道出血诊治中可发挥重要作用,值得推广运用。
Objective To analyze the clinical effect and the value of angiography in the diagnosis and interventional treatment of gastrointestinal bleeding. Methods 43 cases of patients with gastrointestinal bleeding were diagnosed angiography, and according to the results of the diagnosis, we selected interventional treatment for different bleeding sites. Bleeding site of the above patients, post-diagnosis treatment methods, effects and complications were analyzed. Results After the diagnosis of angiography, 43 patients (79.07%) were treated by arterial embolization and 9 patients (20.93%) were treated by injectable vasopressin. Thirty - eight patients were successful in hemostasis, 5 were ineffective, and the success rate of hemostasis was 88.37%. After treatment, no serious complications such as bowel necrosis or perforation, liver failure, arrhythmia and so on were found in 43 patients. Ectopic coil was found in 1 of the 34 patients with arterial embolism, the incidence was 2.33%. Conclusion Angiography diagnosis and interventional treatment may play an important role in the diagnosis and treatment of gastrointestinal hemorrhage, which is worthy of promotion and application.