上消化道大出血的急诊介入治疗

斯光晏; 王学建; 周石; 李兴; 宋杰; 蒋天鹏; 张巍

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中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (8) : 566-568.

论著

上消化道大出血的急诊介入治疗

斯光晏1，王学建2，周石2，李兴2，宋杰2，蒋天鹏2，张巍2

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Emergency interventional therapy of massive upper digestive tract bleeding

SI Guang-yan1, WANG Xue-jian2, ZHOU Shi2, LI Xing2, SONG Jie2, JIANG Tian-peng2, ZHANG Wei2

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摘要

目的：探讨上消化道大出血急诊介入治疗时机、方法和急诊止血的效果。方法：65例上消化道大出血的患者行介入治疗，根据腹腔造影的表现选用出血动脉的栓塞或行经颈内静脉肝内门体静脉分流（TIPSS）。分析行介入治疗的时机、造影表现、治疗方法及其疗效。结果：65例患者中，行动脉栓塞42例，TIPSS治疗19例，2例继续内科治疗，2例转外科治疗。随访1月，TIPSS治疗后再出血1例，栓塞后再出血2例；介入治疗后无死亡患者；无介入治疗相关并发症。结论：急诊上消化道出血的介入治疗，止血效果好，死亡率低，患者创伤小。

Abstract

Objective: To explore the time of treatment, methods and effect of hemostasis in emergency interventional therapy of massive upper digestive tract bleeding. Methods: Sixty-five cases of massive bleeding of upper digestive tract were treated with interventional therapy. According to the angiographic signs, arterial embolization or transjugular intrahepatic portosystemic shunt(TIPSS) were perfomed. The time of treatment, angiographic signs, methods and effect of hemostasis were analysed. Results: Arterial embolization were perfomed in 42 cases, TIPSS in 19 cases, medical therapy in 2 cases and surgical therapy in 2 cases. During 1 month follow-up, 1 case rebled after TIPSS and 2 after arterial embolization. Neither dead cases nor serious complications occurred. Conclusion: In massive upper digestive tract bleeding emergency interventional therapy is a good method of hemostasis, with low mortality and small trauma.

导出引用

斯光晏;王学建;周石;李兴;宋杰;蒋天鹏;张巍. 上消化道大出血的急诊介入治疗[J]. 中国临床医学影像杂志. 2007, 18(8): 566-568

SI Guang-yan;WANG Xue-jian;ZHOU Shi;LI Xing;SONG Jie;JIANG Tian-peng;ZHANG Wei. Emergency interventional therapy of massive upper digestive tract bleeding[J]. Journal of China Clinic Medical Imaging. 2007, 18(8): 566-568

中图分类号： Ｒ57 Ｒ815