目的评价急性消化道出血血管造影的诊断价值及介入治疗疗效。方法47例急性消化道出血,经动脉血管造影41例发现出血部位(87.2%)。6例手术治疗,1例保守治疗,4例食管胃底静脉出血另行处理,30例进行介入治疗,9例灌注加压素,21例进行栓塞治疗。结果随访1个月～3个月,7例复发出血(2例手术切除,1例内科治疗,4例病死),23例治愈(76.6%)。结论急性消化道出血血管造影,可发现内窥镜和其他检查方法不能发现的出血部位,介入治疗是一种安全、微创、有效的治疗方法,亦能为手术做好准备。 Objective To evaluate the diagnostic value of acute gastrointestinal bleeding angiography and interventional therapy. Methods A total of 47 patients with acute gastrointestinal bleeding were enrolled, of which 41 (87.2%) were found by arterial angiography. Six patients underwent surgery, one received conservative treatment, and four received esophageal and gastric venous hemorrhage. Thirty patients received interventional therapy, nine received vasopressin and 21 received embolization. Results The patients were followed up for 1 month to 3 months. Seven patients had recurrent hemorrhage (2 surgical resections, 1 medical treatment, 4 died) and 23 patients cured (76.6%). Conclusions Acute gastrointestinal bleeding angiography can detect the bleeding site that can not be found by endoscopy and other examination methods. Interventional treatment is a safe, minimally invasive and effective treatment and can prepare for surgery.