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本文报告选择性腹腔动脉造影诊断消化道急性出血14例的结果,其中10例有阳性发现,9例经手术或病理证实,阳性率71.4%.男9例.女5例.年龄20～78岁.每例出血5～30余次,病程1月～2年不等.主要临床表现为反复间断黑便或暗红色血便,经内科止血及输血后仍出血不止.造影前输血量在1000ml至4000ml之间.动脉造影选择:(1)发病24～48小时内反复黑便或暗红色血便不止.(2)治疗后血色素仍低于80g/L,脉率>100次/min.(3)急诊胃镜及肠镜不能明确出血原因.(4)发病间隙期曾作小肠钡餐检查无异常发现.
This article reports the results of selective celiac arteriography in the diagnosis of acute gastrointestinal bleeding in 14 cases, of which 10 cases were positive, 9 cases were confirmed by surgery or pathology, the positive rate was 71.4% .Men’s 9 cases .Female 5 cases .Ages 20 to 78 years .Every cases of bleeding more than 5 to 30 times, duration of 1 months to 2 years.The main clinical manifestations of intermittent melena or dark red bloody stool, bleeding after hemostasis and blood transfusions still more than blood before the contrast blood transfusion in 1000ml to 4000ml Arterial angiography options: (1) the incidence of 24 to 48 hours repeated black or dark red bloody stool more than (2) hemoglobin after treatment is still lower than 80g / L, pulse rate> 100 times / min (3) emergency Gastroscopy and colonoscopy can not be clearly the cause of bleeding. (4) the incidence of interstitial space had no abnormal barium meal examination found.