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目的探讨动脉栓塞治疗非静脉性消化道出血的临床价值。方法急性消化道出血患者95例,男59例,女36例,年龄47～92岁。均以呕血或血便入院。经内科保守治疗无法止血,外科会诊认为不能耐受外科手术。经动脉DSA造影检查后,进行栓塞治疗。结果 95例患者首次栓塞止血成功率83.2%,反复栓塞止血率90.5%,未出现器官坏死、穿孔等严重并发症。结论动脉栓塞术对非静脉性消化道出血的止血效果肯定。
Objective To investigate the clinical value of arterial embolization in the treatment of non-venous gastrointestinal bleeding. Methods Acute gastrointestinal bleeding in 95 patients, 59 males and 36 females, aged 47 to 92 years. Hematemesis or bloody stools were admitted to hospital. Conservative medical treatment can not stop bleeding, surgical consultation that can not tolerate surgery. After DSA angiography examination, embolization. Results 95 cases of the first successful embolization hemostasis rate of 83.2%, repeated embolization hemostasis rate of 90.5%, no organ necrosis, perforation and other serious complications. Conclusion Artery embolization for non-intravenous gastrointestinal bleeding hemostatic effect is affirmed.