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The value of digital subaction angiography in iagnosis and treatment of gastrointestional hemorrhage

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
Issue:
6
DOI:
10.3760/cma.j.issn.1008-6706.2009.06.001
Key Word:
消化道出血;选择性血管造影;栓塞治疗;灌注;Gastrointestinal hemorrhage;Selective angiography;Perfusion

Abstract: Objective To evaluate the application value of DSA diagnosis and interventional therapy in gas-trointestinal hemorrhage. Methods 36 cases of gastrointestinal hemorrhage used DSA examination, according to the reason and position,26 cases of the patients that were positive of DSA opacification utilized interventional therapy with different embolic agents or vasopressin peffusion. Results 26 cases of patients in 36 had gastrointestinal hemorrhage, 12 cases of patients in 16 that have extravasation of contrast media were hemostasis by treating with embolization ther-apy and vasopressin peffusion, hemorrhage of eholecyst and biliary tract after operation,the patients of small intestinal hemorrhage, gastroduodenal hemorrhage after the operation of pancreatic carcinoma were embolized with gelfoam ,PVAand/or colis were done. The stopped bleeding immediately oceured in 84. 6% (22/26). Conclusion DSA are more valuable methods for the diagnosis of gastrointestinal hemorrhage. Arterial embolization and/or perfusion of vasoconl-rictor substance for treatment of hemorrhage of digestive tract is safe, effec is reliable.

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