中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (06): 435-439.
• 专题笔谈 • 上一篇 下一篇
程洁敏,王建华
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摘要:
血管造影和介入治疗在消化道出血的诊断和治疗中具有较高的价值。其适应证为不明原因的消化道出血和各种原因所致的难治性消化道出血,无绝对禁忌证。胃肠道动脉血管造影采用Seldinger技术,作肠系膜下动脉,肠系膜上动脉,腹腔动脉造影;门静脉造影可采用直接门静脉穿刺或经颈静脉肝内门腔静脉分流术途径。利用DSA造影进行诊断。并根据不同出血原因采用栓塞、分流降压、药物收缩血管等方法作介入治疗。
关键词: 消化道出血, 血管造影, 介入治疗
Abstract:
Clinical application of angiography and interventional treatment in gastrointestinal hemorrhage CHENG Jie-min, WANG Jian-hua. Department of Radiology, Zhong Shan Hospital, Fudan University, Shanghai 200032,China Corresponding author:WANG Jian-hua,E-mail:wang.jianhua@zs-hospital.sh.cn Abstract Angiography and interventional treatment play a important role in treating gastrointestinal hemorrhage. The indications of angiography and interventional treatment includes uncertain and refractory alimentary tract hemorrhage. No absolute contraindication is for angiography and interventional treatment. Gastrointestinal arterial angiography uses Seldinger technique performed inferior and superior mesenteric angiography and celiac arteriogram. Portal phlebography may adopt the way of direct portal venepuncture or transjugular intrahepatic portosystemic stent-shunt. Gastrointestinal hemorrhage can be diagnosed according to digital subtraction angiography and performed interventional treatment composed of embolism, shunt and depressurization, vasoconstriction based on different bleeding reasons.
Key words: gastrointestinal hemorrhage;angiography, interventional treatment
程洁敏,王建华. 血管造影和介入治疗在消化道出血诊治中的应用[J]. 中国实用外科杂志, 2010, 30(06): 435-439.
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