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目的 :探讨血管造影对消化道动脉出血的临床应用价值。方法 :7例急性消化道出血者 ,采用Seldinger法穿刺股动脉 ,行选择性血管造影诊断 ,并根据临床需要进行介入治疗。结果 :6例有阳性发现 ,并做出定位诊断 ,阳性率 85 .7% ,其中 1例明确病因。 2例进行垂体加压素灌注 ,即刻造影未再有出血。结论 :选择性血管造影有助于胃肠道出血的定位诊断 ,并能及时进行灌注止血治疗 ,为临床治疗提供一种新方法。
Objective: To investigate the clinical value of angiography in the diagnosis of gastrointestinal arterial hemorrhage. Methods: Seven patients with acute gastrointestinal bleeding were treated with Seldinger’s method of perforating the femoral artery. The patients underwent selective angiography and were treated according to the clinical needs. Results: 6 cases were found positive, and made a diagnosis of positioning, the positive rate was 85.7%, of which 1 case of a clear cause. 2 cases of pituitary vasopressin perfusion, immediate angiography no more bleeding. Conclusion: Selective angiography is helpful for the diagnosis of gastrointestinal bleeding and timely treatment of hemostasis, providing a new method for clinical treatment.