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目的探讨不同原因引起腹部急性出血选择性血管造影诊断及介入治疗价值。方法对76例行选择性动脉血管造影及血管内介入治疗的腹部急性出血患者的临床资料进行回顾性分析。结果采用Seldinger技术,经股动脉插管后作选择性腹部内脏血管造影,用碘化油、明胶海绵或弹簧圈栓塞治疗,76例中完全止血65例、再出血9例、无效2例。结论介入方法不仅可确定出血部位,而且可达到止血目的,效果确切。
Objective To investigate the diagnostic and interventional value of selective angiography of acute abdomen caused by different causes. Methods The clinical data of 76 patients with acute abdominal hemorrhage undergoing selective arterial angiography and endovascular interventional therapy were retrospectively analyzed. Results Seldinger technique was used for selective abdominal visceral angiography after intubation of the femoral artery. With iodized oil, gelatin sponge or coil embolization, there were 65 cases of complete hemostasis in 76 cases, 9 cases of rebleeding and 2 cases of ineffectiveness. Conclusion Interventional methods can not only determine the bleeding site, but also to achieve the purpose of bleeding, the exact effect.