摘要
Abstract
Objective Review and analysis 27cases of upper gastrointestinal arterial hemorrhage in diagnosis and treatment, to explore the clinical practical value of endoscopy and interventional radiology clinic. Methods Col ecting the patients that who with the clinical diagnosis of acute upper gastrointestinal hemorrhage failed in conservative treatment in our hospital during the period from July 2011 to December 2013. Adopting conventional endoscopic examination to exclude the esophageal gastric variceal hemorrhage, and find the possible bleeding lesion location. The 27 cases of upper gastrointestinal hemorrhage patients by DSA examination,which 11 cases were diagnosed positive, negative in 16 cases. The radiography positive cases used super-selective catheterization gelatin sponge embolization, the radiography negative cases embolized relevant artery according to lesion location.Results The 11 positive cases bleeding stopped after embolization, however, in the 16 negative cases, 11 cases bleeding stopped after embolization, 3 cases reduced the blood loss, 2 cases hemostasis invalid and turn to surgical operation.Conclusion Rational combinations of endoscopic and radiological interventional diagnose and treat upper gastrointestinal arterial hemorrhage, which can significantly improve the treatment ef iciency, reduce the mortality rate. It has a great clinical value in negative cases of angiography, and deserve to be widely applied in clinical practice.关键词
上消化道出血/内镜/血管造影/栓塞Key words
Upper gastrointestinal hemorrhage/Endoscopic/Angiography/Embolization
