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目的探讨动脉造影在消化道出血诊治过程中的价值。方法急性消化道出血患者132例,男83例,女49例,年龄37～92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。经股动脉入路引入导管,行腹腔动脉及其分支,肠系膜上、下动脉,双侧髂内动脉,骶正中动脉,以及经肠系膜上动脉的间接门脉造影。结果 132例造影造影结果阳性率80.3%。发现造影剂外溢、动脉球形膨大、末梢血管网增粗5例、血管突然中断、局部血管分支增粗增多、粗细不均、染色增浓、血管分支“抱球征”、局部静脉早显、门脉异常等异常征象。结论动脉造影能使大部分消化道动脉出血的患者得到及时有效的诊断和治疗。
Objective To investigate the value of arteriography in the diagnosis and treatment of gastrointestinal bleeding. Methods 132 cases of acute gastrointestinal bleeding, 83 males and 49 females, aged 37 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. Introduced by the femoral artery catheter, the celiac artery and its branches, the superior mesenteric artery, bilateral iliac artery, the middle of the sacral artery, and the superior mesenteric artery portal angiography. Results The positive rate of 132 cases was 80.3%. Found that the contrast agent spilled, arteries dilated, peripheral vascular network thickening in 5 cases, abrupt vascular ablation, local vascular thickening increased, uneven thickness, staining thickening, vascular branch , Portal abnormalities and other abnormal signs. Conclusion arteriography can make most of the patients with gastrointestinal bleeding to be timely and effective diagnosis and treatment.