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目的:探讨DAS在诊断疑难性消化道出血时的作用,及其介入治疗。方法:选择18例消化 道出血病人,先作DSA进行诊断,然后作介入性治疗。结果:这18例病人中有上消化道出血7例(其中食道静脉曲张破裂出血者3例,胃及十二指肠溃疡出血者4例),肿瘤出血者9例(其中小肠肿瘤出血者6例,结肠肿瘤出血者3例),血管畸形出血者2例。上述病例均作DSA以明确诊断,确诊后再作介入治疗。行药物灌注术14例,行栓塞术4例,其中1例无效。结论:DSA对消化道出血的诊断具有特殊之处,介入疗法是治疗消化道出血的有效方法之一。
Objective: To investigate the role of DAS in the diagnosis of intractable gastrointestinal bleeding and its interventional therapy. Methods: 18 patients with gastrointestinal bleeding were selected for DSA diagnosis before interventional therapy. Results: Among the 18 patients, there were 7 cases of upper gastrointestinal bleeding (3 cases of esophageal variceal bleeding, 4 cases of gastric and duodenal ulcer bleeding), 9 cases of tumor hemorrhage (including small intestinal tumor hemorrhage 6 Cases, colon tumor hemorrhage in 3 cases), vascular malformations in 2 cases. The above cases were made DSA to confirm the diagnosis, diagnosis and then for interventional therapy. 14 cases of drug infusion, embolization in 4 cases, of which 1 case is invalid. Conclusion: DSA has some specialities in the diagnosis of gastrointestinal bleeding. Interventional therapy is one of the effective ways to treat gastrointestinal bleeding.