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目的：探讨选择性动脉造影、栓塞及灌注在难治性消化道大出血的临床价值。方法：２２例急性消化道大出血病人，按Ｓｅｌｄｉｎｇｅｒ′ｓ技术进行造影诊断及导管内治疗。结果：２２例中２０例显示了在造影时有造影剂外溢（９０．９％）。１７例进行了栓塞和加压素灌注的病人，１５例有效，有效率为８８．２％（１５／１７），其余５例单纯灌注，１例有效。总效率７２．２％（１６／２２）。结论：选择性动脉造影有助于胃肠道出血的定位和定量，血管内栓塞和灌注加压素是一种少创伤和有效的止血方法。尤其是手术条件不好的病人。
Objective: To explore the clinical value of selective arteriography, embolization and perfusion in intractable gastrointestinal bleeding. Methods: Twenty-two patients with acute gastrointestinal bleeding were diagnosed according to Seldinger’s technique and treated with catheterization. RESULTS: Twenty of the 22 patients showed contrast agent overflow at the time of contrast (90.9%). Among the 17 patients who underwent embolization and vasopressin infusion, 15 were effective and effective rate was 88.2% (15/17). The remaining 5 patients were simply perfusion and 1 was effective. The total efficiency of 72.2% (16/22). Conclusion: Selective arteriography is helpful for the location and quantification of gastrointestinal bleeding. Intravascular embolization and perfusion of vasopressin are a less traumatic and effective hemostasis method. Especially in patients with poor surgical conditions.